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The ePRA: Connecting Pregnant Women More Efficiently

Data from the Baltimore City Fetal and Infant Mortality Review indicates that pregnant women who do not have a Prenatal Risk Assessment (PRA) submitted by their providers are 5 times more likely to experience an infant loss.


Submission of the PRA connects your patients to community-based resources such as home visiting and substance use disorder treatment counseling, which support pregnant moms and new families. These supportive services make a difference in maternal and infant outcomes.

But the PRA can be cumbersome to submit, which is why we are trying to make it easier by building an electronic option that can be linked directly into your EMR.


University of Maryland Medical System

The ePRA is easier to use, more efficient, and fits easily into our current workflows”

We have piloted an ePRA, built directly into the medical records at BMS and UMMS, with great results.

BMS saw an increased PRA completion rate of 83% using the ePRA, even during a period of staff turnover, which is significantly higher than the city average of 65%.


Baltimore Medical Systems

The ePRA improves accuracy, is easy to complete with auto-population... decreased delays and timely information for everyone”

When I was pregnant with Maria, I suffered from a lot of depression. I was always stressed out because of her father not helping me. Natasha was a helpful support. She was always telling me go outside and get some fresh air, walk a little bit. If I wouldn’t have been in [the home visiting*] program, I think I’d still be in the depression mode. She made me take care of my health and keep my appointments. I really thank Ms. Natasha for being there for me.  

Danielle was connected to home visiting because her doctor completed the PRA


Reach out to Amy Secrist at to learn more.

We are ready to expand the ePRA to more OB clinics. Is your clinic ready to join us?

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