Established the core elements of PRAPARE® with collaborations with national stakeholders. This led to the development of the PRAPARE® tool. The tool was then piloted within various electronic health records (EHRs).

A significant leap in PRAPARE®’s impact occurred with the development of the implementation & Action Toolkit, providing practical support. The PRAPARE® Train the Trainer Academy and PRAPARE® Innovation amplified efforts, effectively expanding the tool’s reach and fostering a community of practice.

PRAPARE® expanded its reach and gained significant recognition for its impact, including:

• Utilization during the Opioid Epidemic: PRAPARE® was applied to address the needs of pediatric and adolescent populations affected by the opioid crisis.
• Medicaid Recognition: Medicaid acknowledged PRAPARE® as the most widely used screening tool nationwide.
• JAMA Study Reference: PRAPARE® was cited in a JAMA study for its role in improving social determinant screening in health centers compared to hospitals.

Initiated refinement through environmental scans, literature and tool reviews, advisory input, and a year-long pilot— grounding updates in research, practice, and field insights.

Launched a new website designed to improve access to tools, resources, and updates—enhancing user experience and supporting broader adoption of the PRAPARE® framework.

Through rigorous scans, collaborative advisory work, and realworld piloting, the National PRAPARE® Team began reshaping the tool to reflect evolving SDOH needs and frontline experiences.

An enhanced version of the tool featuring significant revisions to better address the diverse needs of individuals and communities — including the addition of several new domains and updated language throughout the tool and toolkit.