The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) is a national effort to help health centers and other providers collect the data needed to better understand and act on their patients’ social determinants of health. As providers are increasingly held accountable for reaching population health goals while reducing costs, it is important that they have tools and strategies to identify the upstream socioeconomic drivers of poor outcomes and higher costs. With data on the social determinants of health, health centers and other providers can define and document the increased complexity of their patients, transform care with integrated services and community partnerships to meet the needs of their patients, advocate for change in their communities, and demonstrate the value they bring to patients, communities, and payers.
- Learn about the development of the PRAPARE risk stratification model, which incorporates clinical, mental health and substance abuse, SDOH, demographic and utilization data to generate a comprehensive patient risk score.
Realizing Resilience: A First Look at Health Center and Social Sector Response to Social Determinants of Health Needs during COVID-19
- This informational snapshot summarizes key takeaways identified by survey and webinar participants when detecting, prioritizing, and informing community needs magnified by the COVID-19 pandemic, including methods in which to strengthen cross-sector alignment strategies between health center, public health, and social service partners.
- The PRAPARE Team at NACHC hosted an office hour on November 20, 2020 for individuals that are new to collecting social determinants of health (SDOH) data using PRAPARE. The office hour included a review of the PRAPARE screening tool, assessment of strategies to get started and workflow considerations for various staffing models.
This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $7,287,500 with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.
- The National Association of Community Health Centers (NACHC) and the Association of Asian Pacific Community Health Organizations (AAPCHO) will host a webinar series, “Assessing and Addressing the Social Determinants of Health During COVID-19”, beginning in October. The goal of the webinar series is to share an overview, relevant updates, and promising practices on how community health centers are leveraging resources, including their workforce, technology, and external partners to assess and address their patients’ SDOH needs. Moreover, health centers are using the SDOH data to develop new and/or stronger collaborations with community partners to provide social interventions during the COVID-19 pandemic. By doing so, health centers and their cross-sector partners can pivot to meet the changing needs of populations most at-risk for poor health outcomes and advocate for policy changes that influence upstream factors that perpetuate health disparities.
- Click here to learn more and watch the recordings!
- This fact sheet outlines how PRAPARE SDOH domains impact individuals’ risk of morbidity and mortality from COVID-19. Care team members and aligned social service partners can use this information to identify those who may be most vulnerable during the pandemic, prioritize patients in need of outreach and additional services, and develop plans for addressing social risks in the community.
- Need to print? Printer-friendly version available here!
Publication in the Journal of Health Care for the Poor and Underserved: Collecting Social Determinants of Health Data in the Clinical Setting: Findings from National PRAPARE Implementation
- Nationally, health centers implementing PRAPARE social risk screening demonstrate high prevalence of SDH risks among underserved patients. This data is critical for informing social interventions and upstream transformation to improve health equity.
Follow us on Twitter!
- Follow @prapare_sdoh and continue to share your successes and stories. Help us demonstrate the value of health centers and the work you do around social determinants of health with your patients and in your communities. #PRAPARE #SDOH #ValueCHCs
- PRAPARE Translated into 26 Languages – The PRAPARE team worked with a qualified translation vendor to translate PRAPARE. We then engaged health centers to validate and test the translations to ensure that they were accurate and culturally appropriate. Translations include Arabic, Burmese, Chinese (Simplified), Chinese (Traditional), Korean, Portuguese, Somali, Spanish, Tagalog, Vietnamese and more!
- Updated PRAPARE Implementation and Action Toolkit – The PRAPARE team updated the PRAPARE Implementation and Action Toolkit with more best practices, lessons learned, and user stories and worked with a graphic designer to give it a new, professional, yet easy to use look. The PRAPARE Implementation and Action Toolkit is designed to provide interested users with the resources, best practices, and lessons learned to guide implementation, data collection and responses to social determinant needs.