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Pinecrest Queensway ACTT in Ottawa used the ATR tool to help establish a caseload balance reference tool for the team. Each caseload’s ATR scores was calculated as to how many clients scored in the A, B, C, or D category, and percentages of each category was also calculated. This allowed us to determine which workers may carry a “heavier” or “lighter” caseload than others. This has proved helpful in making informed decisions regarding assigning new files and overall distribution of caseloads, also with a goal of ensuring equal workloads and avoiding burnout in workers who may have an already high-needs caseload.

 

 

One issue identified by using the ATR in this manner was the possibility of bias of results due to each prime worker being responsible for administering the ATR for their own prime clients. Therefore the possibility of a greater over or underrated score exists.  This may result in a tendency towards the appearance of their caseloads being more or less functional that reality. Despite this issue, when our latest results were reviewed team wide, the designations given to the clients were not far from their actual functioning level. Thus, the issue of possible bias does not appear to significantly distort the real level of functioning/ client situation.

I will post shortly to speak to the other ways that we have implemented this tool.

Thank you,

Brendan McCormick RN, clinical team lead

Pinecrest Queensways ACTT.

 

fictitious names used in slide

prime caseloads via ATR

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