This nine-question assessment finds the governance gaps that let participants drift out of care in community behavioral health programs. Every question targets a structural failure point: who owns the follow-up, what done means, how fast drift gets caught, and whether a fix still holds once everyone stops watching it.
Select your program type
This sets the program context for your results.
Nine questions · About 3 minutes · No login required
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Published FrameworkBuilt on the Closed Loop Execution Framework, published in the American Journal of Healthcare Strategy (Thursby & Baiocchi, 2026), DOI 10.61449/ajhcs.2026.7. Governance Deficit Index methodology: Thursby (2026), working paper.
01Ownership: who keeps each participant engaged
02Completion Standards: what done actually means
03Follow Through: how fast drift gets caught
04Closing the Loop: whether fixes actually hold
GDI Assessment · Behavioral Health
Governance Deficit Index · Chad Thursby, DHA, MBA
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Assessment Results
Governance Deficit Index · Behavioral Health Edition
GDI Score
0 to 100. Higher means tighter governance.
What Drift Puts at Risk
structural checks in place. Enter your own numbers to see how many participants sit in the drift zone and what rides on them.
Participants in the Drift Zone
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Monthly Revenue Riding on Them
Enter revenue per participant
Every number here comes from your answers and your inputs. The range spans the full admissible GDI cascade coefficient space (Thursby, 2026). Revenue shown is what rides on participants exposed to drift, not a loss estimate.
Component Breakdown
Score Interpretation
Gaps & Monday Moves
Program Context
This assessment measures governance structure, not clinical quality or individual outcomes. Program context statements describe patterns documented in the published behavioral health literature and national guidance (Kreyenbuhl, Nossel & Dixon, Schizophrenia Bulletin, 2009; National Action Alliance for Suicide Prevention, 2024). They are not predictions about any specific program or participant.
Built by
Chad Thursby, DHA, MBA, CHFP, LSSGB
Healthcare operations, governance, and execution. Questions about your results or the methodology? Let's talk.