PRAPARE Trainings and Resources
New publication! 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.
Webinar Series: Assessing & Addressing the Social Determinants of Health during COVID-19
In the wake of COVID-19, many community health centers are adjusting to how they assess and address patient and population level social determinants of health (SDOH) through individual, organizational, and system-level enablers. To achieve health equity, we need cross-sector alignment and partnership with other health care, public health, and social services agencies around a common purpose, shared data, sustainable financing, and strong governance models.
This webinar series, hosted by NACHC and the Association of Asian Pacific Community Health Organizations (AAPCHO), shares 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.
Session #1: “Adapting SDOH Data Collection Workflows during COVID-19”
Thursday, October 8, 2020
This webinar reviews various workflows that can be used to collect patient-level Social Determinants of Health (SDOH) data and social interventions at health centers. Various strategies and staffing models were reviewed to account for the impact of COVID-19 on health center operations. The session used PRAPARE as an example of a social needs screening tool and provide case studies of how this data is being collected, documented, and utilized by health centers and external stakeholders to address their needs.
Session #2: “Practical Strategies for Social Risk Screening during COVID-19”
Thursday, October 22, 2020
This webinar highlights patient-centered care approaches to assess a patient’s social determinants of health (SDOH) needs. Our health center examples touch upon patient engagement, workforce development, and organizational process improvement strategies that help staff overcome common barriers to social risk screening. Moreover, panelists promote the importance of on-going interpersonal communication, soft skills building, and staff development trainings (e.g. empathic inquiry, motivational interviewing, trauma-informed care, and cultural humility). Lastly, participants had the opportunity to exchange tips and strategies for social risk screening during COVID-19.
The following guest speakers joined us for a panel discussion during the webinar:
- Beth Thorson, Director of Social Work Services, Bread of Healing Clinic (Milwaukee, WI)
- Rosamaria Martinez, MBA, RD, Vice President of Community Health Initiatives, Sixteenth Street Community Health Centers (Milwaukee, WI)
- Maria Reyes, Community Health Education Manager, La Clínica de la Raza (Oakland, CA)
Session #3: “Emerging Strategies to Address SDOH Through Community Referrals and Cross-Sector Partnerships”
Thursday, October 29, 2020
This session explored how social needs screening can facilitate community referrals as well as foster strategic alignment between community health centers and their cross-sector partners, including community-based organizations, local health departments, and other social service providers. Presenters shared emerging strategies developed during the pandemic for better connecting patients to community resources, as well as developing or enhancing cross-sector partnerships for meeting new social risks and driving upstream change.
The following guest speakers joined us for a panel discussion during the webinar:
- Lynn Salazar-Wadford, Director of Care Management Services, Piedmont Health Services (Chapel Hill, NC)
- Jennifer Costello, Consultant, Project Co-lead, EMBRACe Project, Chatham County Health Department (Pittsboro, NC)
- Artair Rogers, Director of Program for California, Health Leads (Boston, MA)
Session #4: “Aligning Social Needs Data and Social Interventions Coding for Health Equity”
Thursday, December 10, 2020
Access to meaningful and actionable data can improve health equity by building health center capacity to develop sustainable partnerships with social sector entities to address social determinants of health. This webinar explored how community health centers and their cross-sector partners are increasingly recognizing the need to align social needs and services data collection to better coordinate patient care and comprehensively address the root causes of health inequities that have been exacerbated by COVID-19.
Featuring the following guest speakers:
- Corinne Hanson, Chief Development Officer, La Maestra Community Health Centers
- Martin Sabol, Director of Health Services, Nasson Health Care, A division of York County Community Action Corporation
Support for this webinar series was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation. For more information about the Robert Wood Johnson Foundation, please visit www.rwjf.org.
An office hour for individuals that are new to collecting social determinants of health (SDOH) data using PRAPARE, this recording includes 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.
Templates: Show off PRAPARE SDOH Work in Your Health Center
The PRAPARE Social Determinants of Health Efforts poster and handout templates are tools to communicate your organization’s social determinants of health screening efforts with policy makers, leaders, and partners. These templates can be used to highlight patient complexity, patients screened, social needs trends, and organization social needs care interventions and partnership.
Need some examples? See how health centers in Oregon have used these templates
- Asher Community Health Center Handout + Asher Community Health Center Poster
- SouthRiver Community Health Center Handout + SouthRiver Community Health Center Poster
- Community Health Centers of Lane County Poster
- Waterfall Community Health Center Poster
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!
PRAPARE Health Center Engagement and Innovation Awards
To broaden our understanding and knowledge of PRAPARE, its use, and its impact to bring PRAPARE to scale, NACHC, AAPCHO, and OPCA are launching the first ever PRAPARE Health Center Engagement and Innovation Awards. The purpose of the Engagement and Innovation Awards is two-fold: (1) to identify, support, and learn from innovative and unique uses of PRAPARE and (2) to disseminate those models and lessons learned in order to accelerate the use of PRAPARE across health centers and more patients.
To learn more about the experiences, approaches and lessons learned from the PRAPARE Engagement and Innovation Awardees, organizations developed case studies to harvest their tested and replicable approaches in order to more rapidly bring PRAPARE to scale while using it to transform care.
- Bread of Healing Clinic’s Development of a Business Case for Social Determinants Work (Wisconsin)
- Compass Community Health’s Implementation of PRAPARE with Pediatric and Adolescent Patients and Their Families (Ohio)
- Compass Community Health’s Implementation of PRAPARE with SBIRT for Patients with Behavioral Health Needs (Ohio)
- El Rio Health’s Use of Kiosks and Tablets to Administer PRAPARE (Arizona)
- La Clinica’s Use of PRAPARE with Formerly Incarcerated Populations (California)
- RiverStone Health’s Incorporation of PRAPARE Data for Risk Stratification and Scoring (Montana)
- Valley-Wide Health Systems’ Linkage of PRAPARE with Enabling Services and Care Coordination Tracking Tools (Colorado)
PRAPARE Readiness Assessment Tool
The PRAPARE Readiness Assessment Tool can be used to help identify your organization’s readiness to implement PRAPARE. The assessment can inform where your organization is at and help you decide where you want your organization to be as well as provide guidance on how to become “highly prepared.”
Organizations can fill out the Readiness Assessment Tool online.
PCA Readiness Assessment Tool
The PRAPARE PCA Readiness Assessment Tool is now available for PCAs as of August 2017 to assess their capacity to support their member organizations in implementing PRAPARE and using PRAPARE data.
PCAs can fill out the Readiness Assessment Tool online so that PRAPARE staff can view results to inform training.
PRAPARE Train the Trainer Academy
To support the rising demand for training on PRAPARE implementation and use, we launched a PRAPARE Train the Trainer Academy to build the knowledge and capacities of health center member organizations (e.g., state Primary Care Associations, Health Center Controlled Networks, etc.) to assist their health centers in PRAPARE implementation and use PRAPARE data for state policy and transformation initiatives. There are no upcoming Train the Trainer Academy sessions at this time.
To learn more about the experiences, approaches and lessons learned from our Round One PRAPARE Train the Trainer Academy participants, PCA/HCCN teams developed case studies to support other PCAs and HCCNs with PRAPARE implementation and using PRAPARE data for payment reform and transformation efforts.
Questions? Contact firstname.lastname@example.org.
© 2019. National Association of Community Health Centers, Inc., Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association. PRAPARE and its resources are proprietary information of NACHC and its partners, intended for use by NACHC, its partners, and authorized recipients. Do not publish, copy, or distribute this information in part or whole without written consent from NACHC.