Governance Maturity Assessment: Evaluate Leadership, Assurance and Board Oversight Across Human Services

Governance Maturity Assessment (Beta Version 1)

This free beta tool helps HCBS, LTSS, IDD, behavioral health, aging services, home care and community-based organizations assess governance capability, executive oversight, organizational accountability, risk management and assurance maturity.

The assessment generates an overall governance maturity score, detailed domain findings, assurance recommendations, risk oversight priorities, board effectiveness prompts and a staged governance improvement roadmap.

This tool provides general governance and quality improvement guidance only. It does not replace professional judgment, legal advice, state requirements, Medicaid requirements, CMS requirements, managed care contract requirements, accreditation standards, adult protective services procedures, clinical advice, information governance requirements or organizational policy.

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Organization Name Primary Service Type HCBS / Community-Based Support IDD Services Autism Services Behavioral Health Services Home Care / Personal Care Services Aging / LTSS Services Complex Community-Based Care Supported Employment Housing Support / Supportive Housing Residential Habilitation Day and Community Participation Services Care Coordination / Case Management Managed Care / Provider Network Multi-Service Human Services Organization Other Human Services Provider Organization Scale Single program or location Small provider — 2 to 5 programs or locations Medium provider — 6 to 20 programs or locations Large provider — more than 20 programs or locations Multi-state or national provider Managed care, county or state system Not specified Your Role Please select... Program Manager / Service Manager Provider Executive / Senior Leader Chief Executive Officer / Executive Director Operations Manager Quality / Compliance Lead Clinical Lead / Health Professional Care Coordinator / Case Manager Risk Management / Safeguarding Lead Workforce / Human Resources Lead Board Member / Governance Lead State Agency / County Professional Managed Care Organization Professional Accreditation / Regulatory Professional Consultant Other Prefer not to say Assessment Scope Whole organization Individual program or service location Regional or operational division Board and executive governance Quality and compliance function Governance recovery or corrective action program Managed care, state or county assurance Accreditation or regulatory readiness Due diligence, affiliation or acquisition review Primary Assessment Purpose Routine governance review Board effectiveness review Quality improvement planning Medicaid or state oversight readiness Managed care contract assurance Accreditation or regulatory readiness Provider growth or organizational expansion Post-incident, sentinel event or safeguarding review Corrective action or organizational recovery Executive leadership transition Merger, acquisition or due diligence Confidence in the Evidence Used High — responses are supported by current evidence and multiple sources Moderate — most responses are supported, but some evidence gaps remain Low — responses rely mainly on perception or informal knowledge Unclear — evidence has not yet been tested or triangulated Current Organizational Position Stable and performing well Stable but seeking stronger assurance Growing or changing organizationally Experiencing operational or workforce pressures Responding to state, payer, regulatory or accreditation concerns In formal corrective action or organizational recovery Following a serious incident, sentinel event or safeguarding concern Not specified Known Governance Concerns Governance Context and Current Challenges Main Governance Improvement Priorities Evidence Reviewed or Available Additional Notes Generate Governance Maturity Report

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