PRAPARE Implementation and Action Toolkit

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 and apply the data they need to better understand their patients’ social determinants of health, transform care to meet the needs of their patients, and ultimately improve health and reduce costs. PRAPARE is both a standardized patient risk assessment tool as well as a process and collection of resources to identify and act on the social determinants of health. 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.

This is a modulized toolkit. The Toolkit’s chapters focus on the major steps that are needed to implement a new data collection initiative on socioeconomic needs and circumstances. New users are advised to go through the entire Toolkit. Other users may wish to focus on certain chapters to build or enhance capacity in certain areas.

This Toolkit is based on the experiences, best practices, and lessons learned of our early adopting and pioneering health centers. We thank them for sharing their innovations and lessons learned with us so that others can advance their own social determinants of health journey.

Building off of the roots of the PRAPARE name, chapters are organized based on whether they help users “PREPARE” for social determinants data collection, “ASSESS” social determinants of health, or “RESPOND” to social determinants of health data.

Download all PDF chapters of the full-length of the PRAPARE Implementation and Action Toolkit


Introduction to the PRAPARE Implementation and Action Toolkit 

Preparing to Gather Data on the Social Determinants of Health

Chapter 1: Understand the PRAPARE Project

Chapter 2: Engage Key Stakeholders

Chapter 3: Strategize the Implementation Process

Assessing Social Determinants of Health Data

Chapter 4: Technical Implementation with PRAPARE Electronic Health Record Templates

Click here to sign an End User License Agreement to access free EHR templates for Epic, eClinicalWorks, athenaPractice (formerly GE Centricity), Cerner, Greenway Intergy, NextGen, Athena

 *Note: Athena users (not athenaPractice) must contact their customer success managers to implement PRAPARE in their EHR

Chapter 5: Workflow Implementation

Chapter 6: Develop a Data Strategy

Chapter 7: Understand and Evaluate Your Data

Responding to Social Determinants of Health Data

Chapter 8: Building Capacity to Respond to Your Data

Chapter 9: Act on Your Data

Chapter 10: Track Enabling Services


Learn more about PRAPARE with our Frequently Asked Questions (FAQs)

© 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.