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Fractional COO for health systems embedded alongside your executive team to close the gap between strategy and measurable performance, using the PROPEL Forward Framework™.

This is not advisory, it’s Fractional COO Execution!

Kelly Malloy is a healthcare operations executive who partners with Hospitals & Health Systems to transform strategy into measurable operational performance through Fractional COO leadership, service line growth, physician alignment, and sustainable execution.

Known for building strong relationships with executive teams and clinical leaders, Kelly helps organizations move beyond planning and into execution. Rather than providing recommendations from the sidelines, she partners closely with leadership to establish accountability, strengthen collaboration, and implement operational frameworks that produce measurable results.

Whether supporting hospitals through organizational change, improving service line performance, or helping leadership teams navigate complex operational priorities, Kelly brings a practical, people centered approach focused on creating sustainable improvements.

It doesn’t matter what your strategy is if you don’t have proper execution alignment. Margins slip, physicians disengage, and the stall continues to go nowhere. The gap between what the board expects and what the organization delivers keeps widening, despite talented people working hard. Kelly Malloy builds operational infrastructure, accountability structures, decision rights, physician alignment frameworks, and operating cadence that makes performance sustainable.

  • 17% increase in surgical service line volume through specialty service line launch
  • 143% expansion in bariatric services, with full service line accreditation achieved
  • 150+ cases per year redirected from competitors via cardiovascular lab modernization
  • 99% physician engagement achieved through structured alignment work
  • Employee engagement improved from 62% to 82%
  • IRF quality scores advanced from 9th to 50th percentile in 3 months
  • $200M+ in capital projects led from business case through execution
  • Successfully navigated four hurricanes and a pandemic without losing operational continuity
  • Fractional COO Services (Embedded, Not Advisory)
  • Operational Transformation — PROPEL Forward Framework™
  • Physician Alignment & Engagement
  • Service Line Strategy & Execution
  • Healthcare Executive Coaching
  • Leadership Development & Team Alignment
  • Operating Infrastructure Design (Accountability, Decision Rights, KPI Systems)
  • Keynote Speaking & Leadership Workshops

Healthcare Operations Consulting: Transforming complex hospital operations into scalable, high-performing systems that improve financial performance, quality outcomes, and operational efficiency.

Fractional Chief Operating Officer (COO): Executive level operational leadership without the commitment of a full-time executive.

Hospital Performance Improvement: Identifying operational bottlenecks, eliminating inefficiencies, and improving organizational performance across clinical and administrative functions.

Physician Alignment & Engagement: Building trust between physicians and executive leadership while creating accountability structures that improve collaboration and drive better outcomes.

Service Line Development & Growth: Launching, expanding, and optimizing service lines that increase patient access, market share, operational efficiency, and long-term profitability.

Healthcare Change Management: Leading organizations through complex operational transformations while maintaining physician engagement, employee morale, and organizational momentum.

Leadership Team Development: Helping executive teams establish clearer decision-making, stronger accountability, improved communication, and sustainable operating rhythms.

Organizational Performance Diagnostics: Rapidly identifying the true operational constraints affecting growth, profitability, physician satisfaction, and execution.


Every healthcare organization has unique goals, challenges, and opportunities. Kelly believes meaningful improvement begins by understanding an organization’s culture, engaging its leadership team, and developing practical solutions that align people, processes, and strategy.

Her collaborative approach emphasizes partnership, transparency, accountability, and measurable outcomes helping organizations build operational systems that continue delivering value long after an engagement concludes.

With 30+ years of combined clinical and operational health system leadership. Clinical background earned before moving into executive operations. Accelerating physician trust and producing solutions designed for real care delivery environments, not just executive strategy sessions.

She’s led organizations through four hurricanes (Katrina, Michael, Milton, and Helene), a pandemic, complex service line expansions, multi-hospital integrations, and sustained margin pressure.

The PROPEL Forward Framework™ is a six-phase embedded execution model built through 30 years of real organizational challenges: Pinpoint · Root Cause · Organize · Power Up · Execute · Lock In. Designed to transfer ownership and build capability that outlasts the engagement.

Whether you’re seeking experienced Fractional COO leadership, improving operational performance, strengthening physician alignment, or planning your next strategic initiative, Kelly is ready to help.

Connect directly to discuss your organization’s goals, challenges and opportunities for growth.

Or take an assessment first, then connect with Kelly to discuss your results and next steps. She’s developed a series of assessments designed to help healthcare leaders evaluate their organization’s strengths, identify growth opportunities, and prioritize initiatives to deliver the greatest value.

For Health System Executives / Fractional COO prospects:

For Executive Coaching / Career prospects:

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