Track outcomes that matter for your residential program
PAT turns a validated 26-item assessment into one clear score per domain — giving Program Directors and BCBAs the clinical insight to demonstrate progress, justify placements, and improve quality of life for the individuals in their care.
200+ residential programs trust PAT
Maple Street Home · Overview
July 2026
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Health
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Trend Over Time
Domain Profile · 26 validated items
A collaboration between the two organisations behind PAT
Why we built PAT
Built around the people you serve
Behind every score is a person with goals, preferences, and a life worth measuring progress toward. PAT keeps the focus where it belongs — turning your team's day-to-day work into a clear picture of quality-of-life outcomes for the individuals in your care.
Outcome tracking shouldn't be this hard
You're juggling spreadsheets, paper assessments, and endless data entry. When auditors or families ask about progress, you're scrambling to compile reports. There's a better way.
Everything you need to track outcomes
Purpose-built for residential IDD programs using EFL and other validated frameworks
Validated Assessments
The validated 26-item PAT 1.0 instrument with guided scoring — independently reliable (96.7% agreement, κ = 0.95). No more paper forms or Excel.
Trends & AI Insights
See progress over time across all domains, with plain-language AI summaries that surface who is improving and who needs attention.
Group & Individual Views
Roll up data by residence, program, or individual. Perfect for QA reviews and ISP meetings.
Audit-Ready Reports
Generate professional reports for licensing, accreditation, and family updates in one click.
Role-Based Access
BCBAs, Program Directors, and DSPs each see exactly what they need. Nothing more, nothing less.
HIPAA Compliant
Enterprise-grade security with encryption, audit logs, and access controls. Sleep easy.
Built on the Frameworks You Already Trust
PAT isn't another generic assessment tool. We've built our scoring system around Essential for Living (EFL) — the gold standard for functional skills assessment in adult IDD services.
Essential for Living
Integrated Assessment Framework
- The Necessary Nine essential skills
- Quality of life focused (not developmental norms)
- Validated direction-aware domain scoring
- Built-in rubrics with guided scoring
Coming Soon: VB-MAPP • AFLS • Custom Frameworks
"Finally, a tool that speaks our language. The EFL integration means our staff aren't translating between systems."
Maria Gonzalez, BCBA-D
Lakeview Services
Meet the Creator
Troy A. Fry, M.S., BCBA
With extensive experience implementing Essential for Living across residential programs, Troy has dedicated his career to improving outcomes for individuals with disabilities. He created PAT to bridge the gap between clinical best practices and practical outcome tracking.
"I built PAT because I saw firsthand how much time clinicians waste on paperwork instead of focusing on the people they serve. This tool is designed by someone who's been in the trenches."
Partner (Italy) · Consultant & Trainer
Dr. Chiara Pezzana
A medical doctor and child neuropsychiatrist based in Italy, Chiara serves as the regional partner for Essential for Living in Italy and contributes as a consultant, trainer, and medical advisor. She bridges medical, clinical, and educational perspectives within EFL implementation, providing leadership in clinical systems development and certification pathway design — and has been closely involved in the development and refinement of PAT.
×Up and running in days, not months
Three simple steps to transform your outcome tracking
Set Up Your Program
Add your residences, staff, and individuals. Import existing data from spreadsheets or start fresh. We'll help with migration.
Complete Assessments
Staff complete guided assessments on any device. Built-in rubrics mean consistent scoring across your entire team.
See Insights Instantly
Watch trends emerge across individuals and programs. Generate reports for audits, ISP meetings, and family updates in one click.
See it in action
The whole program, at a glance
From a single learner's trend line to every residence side by side.
Outcomes dashboard
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Guided assessment
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Learner trends
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Real screenshots from your seeded demo data — capture and drop into /public/images/screenshots/.
The difference is clear
Before PAT
- Scattered Excel files
- Paper assessments lost
- Weeks to compile reports
- "Where's that data?"
- Inconsistent scoring
- Audit panic mode
With PAT
- One source of truth
- Digital, searchable, secure
- Reports in one click
- Trends visible instantly
- Guided rubrics for all staff
- Always audit-ready
A Complete Picture of Every Individual
PAT tracks outcomes across 5 weighted domains — giving you a holistic view of progress and support needs.
Each domain uses weighted indicators so you see what matters most — not just raw numbers.
Data that drives better outcomes
When you can see trends clearly, you make better clinical decisions. PAT helps you identify what's working and where to focus resources.
"PAT transformed how we track outcomes. We went from dreading audits to looking forward to showing our data."
Sarah Mitchell, BCBA
Program Director, Sunrise Residential
Built for your entire clinical team
So every role can spend less time on paperwork and more time with the people they support.
Program Directors
Get the big picture across all residences. Identify trends and allocate resources effectively.
BCBAs
Track behavior and skill data efficiently. Spend less time on paperwork, more on clinical work.
QA Staff
Generate compliance reports instantly. Always audit-ready with complete documentation.
Clinical Leadership
Make data-driven placement decisions. Demonstrate outcomes to stakeholders and families.
What clinical leaders are saying
"We reduced our audit prep time from 2 weeks to 2 hours."
James O'Brien
QA Director, Harbor House
"The group trends view changed how we think about resource allocation. We can finally see the big picture."
Dr. Linda Chen
Clinical Director, Valley View
"Our DSPs actually complete assessments now. The mobile interface is that easy."
Marcus Williams, BCBA
Bridges Program
Case Study
Sunrise Residential Services
The Challenge
Sunrise runs 6 group homes with 48 individuals. Their BCBA was spending 15+ hours/month compiling assessment data from paper forms and spreadsheets.
The Solution
PAT digitized their assessments and gave leadership real-time visibility into outcomes across all residences.
The Results (6 months)
70%
Assessment time reduced
100%
Assessment compliance
+12%
Skill domain improvement
8hrs
Monthly prep time saved
"We went from dreading state audits to confidently presenting our outcomes data."Read the Full Case Study
Already tracking in spreadsheets? We've got you.
Switching to PAT doesn't mean starting over. Our team will migrate your historical data so you keep your trends intact.
- Import from Excel, Google Sheets, or CSV
- Map your existing fields to PAT domains
- Keep historical assessment periods
- Training included for your entire team
Drag & drop your spreadsheets
or click to browse