Evaluating the effectiveness of the utilization of the Protocol for Responding to and Assessing Patients’ Assets, Risks and Experiences (PRAPARE) to identify and address social determinants of health among patients in a clinical setting

Summary of Program

The Duke Center for Personalized Health Care and Lincoln Community Health Center are collaborating on an applied research project to validate and explore the implementation of the Protocol for Responding to and Assessing Patients’ Assets, Risks and Experiences or PRAPARE—a standardized patient risk assessment tool consisting of a set of national core measures for addressing the social determinants of health—to better serve the needs of patients. The PRAPARE is a survey which includes measures covering housing and material hardship, limited financial resources for food and other essential items, previous incarceration, social and emotional wellness and safety, and immigration status. Funded as a sub-grant awardee from the Blue Cross Blue Shield of North Carolina Foundation, the project focuses on evaluating the implementation, administration, and validity of the PRAPARE risk assessment tool and the clinical practice patterns required for adoption. To conduct an evaluation of this program, the Duke Center for Personalized Health Care will analyze administrative data, patient PRAPARE responses, patient health outcomes from Lincoln Community Health Center, as well as collect qualitative data through focus groups with Lincoln Community Health Center staff and health providers.


  • To identify and analyze barriers and facilitators for implementing the PRAPARE in existing clinical workflows
  • To identify what health outcomes are associated with the social determinants of health identified by patients in their PRAPARE answers
  • Determine whether or not patients are utilizing services that are referred to them based on the PRAPARE implementation
  • To identify the feasibility of PRAPARE in the current clinical workflow at Lincoln Community Health Center

Contribution to Practice

  • Evaluate the effectiveness of the PRAPARE program so that measures can be taken to address the strengths and weaknesses of the utilization of PRAPARE in clinical settings
  • Use analysis to describe current perceptions of best practices and potential adaptations to the administration of PRAPARE to tailor care and improve outcomes for patients affected by social determinants of health.


Connor Drake –