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PRAPARE: Protocol for responding to and assessing patients’ assets, risks and experiences

NACHC Association of Asian Pacific CHOs , Oregon Primary Care Association, Institute for Alternative Futures

The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) was developed by NACHC and partners to help health centers and other providers collect the data needed to better understand and act on their patients’ social determinants of health.

The PRAPARE assessment tool consists of a set of 16 core measures: Race, Ethnicity, Migrant and/or Seasonal Farm Work, Veteran Status, Language, Housing Status, Housing Stability, Address/Neighborhood, Education, Employment, Insurance, Income, Material Security, Transportation, Social Integration and Support, and Stress. PRAPARE optional measures are Incarceration History, Refugee Status, Safety, and Domestic Violence.

PRAPARE aligns with national initiatives prioritizing social determinants (e.g., Healthy People 2020), measures proposed under the next stage of Meaningful Use, clinical coding under ICD-10, and health centers’ Uniform Data System (UDS). PRAPARE Electronic Health Record templates exist for eClinicalWorks, Epic, GE Centricity, and NextGen and is freely available to the public.

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Source: National Association of Community Health Centers

National Association of Community Health Centers, Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association, Institute for Alternative Futures. Accelerating Strategies to Address the Social Determinants of health: Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences. 2016. Available online.

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Tools & Toolkits
Screening research
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