What is an HRA? Clinical Overview for Care Teams

A Health Risk Assessment (HRA) is a patient-facing tool that helps users self-assess symptoms, understand their risk level, and receive personalized next steps—whether that means scheduling, education, or follow-up by a care team.

Unlock HRAs are used by over 105+ health systems and benchmarked across hundreds of thousands of completions, helping to route the right patients to the right care, efficiently.

Each HRA is built using a validated clinical scoring model:

For example:

• Heart HRA: Based on the Framingham Heart Study
• Knee & Hip HRAs: Use the Oxford Knee and Hip Scores
• Oncology HRAs: Reference USPSTF guidelines
• All other HRAs have a validated scoring model as well

Our clinical and product teams expand on these models only when it adds meaningful clinical value—not just length—to maintain usability while enhancing depth.

💡 View all HRA documentation (including clinical logic)

While the core clinical questions are fixed to preserve scoring integrity and benchmarking, several elements can be tailored to your workflows:

• Custom Questions – Up to 10 workflow-specific questions can be added at the end of the assessment (e.g., insurance type, clinic preference)
• Risk Report Language – Customize the explanatory copy under each risk factor
• CTA Mapping – Adjust follow-up actions shown based on risk level

📸 (Screenshot: CTA Mapping Matrix)

📄 Learn more: Creating and Managing Follow-Up Plans

Unlock HRAs are often used as digital front doors for:

• Nurse navigation
• Referral coordination
• Centralized scheduling

From the CTA Results page, patients are routed to the next step based on their risk level—whether that’s scheduling directly, submitting a callback request, or receiving follow-up education.

📸 (Screenshot: CTA Results page with mapped CTAs)

Authorized clinical users can access:

• Aggregate performance reports
• Patient risk-level trends
• CTA engagement and outcomes
• Raw data exports (if PHI access is enabled)

These insights help clinical teams monitor reach, understand which cohorts are engaging, and ensure follow-ups align with care pathways.

💡 Learn more: Understanding Reporting in the HRA Console 

• Review the Clinical Review Documentation for each HRA to understand risk logic
• Use custom questions to capture key triage data
• Collaborate with your Client Success Director to align CTAs with internal workflows
• Set up follow-up notifications or Engagement Queue CTAs for high-risk routing
• Review data regularly via the reporting tab or scheduled reports

If you’d like to learn more, check out these resources:

• View HRA-Specific Clinical Documentation
• About Follow-Up Plans
• Understanding Reporting in the HRA Console

If you need any help navigating the HRA Management Console or have features you wish to see added, don’t hesitate to contact your Client Success representative!

Email: hrasupport@unlockhealthnow.com