Hospice Operational Integrity Group — Operational Integrity Consulting for Hospice & Post-Acute Care

Operational Integrity Consulting

Hospice Operational Integrity Group

Identifying Operational Risk Before It Becomes Regulatory Risk

Most organizations discover operational weaknesses after a survey, audit, ADR, diversion event, customer complaint, or financial loss. HOIG helps hospice and post-acute care organizations proactively identify vulnerabilities, strengthen accountability, improve workflows, and sustain operational excellence.

Kellie Legare, RN, BSHA · 30+ Years Healthcare Experience · 25+ Years Hospice & Oncology · A Division of Bluebonnet Medical Education, LLC

Our Approach

The HOIG Methodology™

01

Assess

Identify operational vulnerabilities and opportunities before they become costly problems.

02

Improve

Implement governance systems, accountability processes, workflow redesign, and operational controls.

03

Sustain

Monitor performance, benchmark results, and maintain long-term operational excellence.

The Assessment

HOIG Operational Integrity Assessment™

A comprehensive review of operational performance designed to identify vulnerabilities before they become costly problems.

The Assessment Identifies

  • Medication Governance Risks
  • Controlled Substance Vulnerabilities
  • Pharmacy Workflow Inefficiencies
  • Operational Accountability Gaps
  • Compliance Exposure Areas
  • Communication and Process Breakdowns

Assessment Deliverables

Operational Integrity Score™

A quantified rating of your organization's operational performance across key domains.

Risk Heat Map

A visual representation of your highest-priority vulnerabilities and exposure areas.

Integrity Gap Analysis

A structured comparison of current state versus operational best practices.

Financial Opportunity Analysis

Quantified opportunities to reduce waste, unnecessary spend, and operational inefficiency.

Executive Findings Report

A leadership-ready summary of findings, priorities, and strategic recommendations.

90-Day Action Plan

A prioritized, actionable roadmap your team can implement immediately.

Our Difference

Why HOIG Is Different

Most consultants focus on what has already happened.

HOIG focuses on identifying operational risks before they become problems. Our goal is to create visibility, accountability, and sustainable operational improvement before issues occur.

Schedule a Discovery Call

HOIG Identifies Risk Before It Becomes:

Survey Deficiencies
ADRs and Audits
Compliance Findings
Diversion Events
Pharmacy Disputes
Customer Complaints
Financial Losses

Operational Integrity Score™

Sample
Medication Governance78
Controlled Substance Accountability62
Workflow Integrity85
Documentation Integrity71
Compliance Vulnerability55
Overall Score
70/ 100
Measurement

Operational Integrity Score™

Every organization that completes a HOIG assessment receives an Operational Integrity Score™ — a quantified, domain-by-domain rating of operational performance.

The score provides a clear baseline, identifies your highest-priority improvement areas, and serves as the foundation for your 90-Day Action Plan and ongoing performance benchmarking.

Medication Governance
Controlled Substance Accountability
Workflow Integrity
Documentation Integrity
Compliance Vulnerability
Industries Served

Hospice, Palliative, and Post-Acute Care

HOIG works with organizations across the hospice and post-acute care continuum.

Customized assessment services are available based on organizational needs, size, and operational complexity.

Discover Opportunities Within Your Organization

Hospice Organizations

Independent and corporate hospice providers seeking proactive operational integrity and compliance readiness.

Palliative Care Programs

Programs focused on strengthening medication governance and operational accountability.

Assisted Living Communities

Communities seeking to improve medication accountability, hospice coordination, and operational efficiency.

Memory Care Communities

Specialized care settings requiring structured medication governance and controlled substance oversight.

Residential Care Facilities

Facilities focused on strengthening medication management processes and regulatory compliance.

Post-Acute Care Providers

Broader post-acute organizations with complex medication management and operational integrity needs.

Technology & Governance

Technology Alone Does Not Create Accountability

Organizations often invest in software, PBMs, reporting tools, and analytics platforms before building the operational processes required to maximize those investments.

HOIG helps organizations create the governance foundation needed to achieve measurable results — ensuring that technology investments are supported by the processes, accountability structures, and workflows that make them effective.

Schedule an Operational Integrity Discovery Call
Kellie Legare, RN, BSHA — Founder, HOIG

Kellie Legare

RN, BSHA · Founder & Principal Consultant

About Kellie

Kellie Legare

RN, BSHA — Founder & Principal Consultant

Kellie Legare is a Registered Nurse since 2001 with more than 30 years of healthcare experience and over 25 years dedicated to hospice and oncology care.

With 25+ years of hospice leadership experience focused on operations, compliance, medication governance, quality improvement, workflow redesign, and operational accountability — Kellie brings active, real-world expertise that most organizations simply don't have in-house.

She founded HOIG to give hospice and post-acute care organizations access to the specialized operational integrity expertise needed to identify vulnerabilities, improve performance, and sustain excellence.

Mission

"To help hospice and post-acute care organizations achieve operational integrity through proactive assessment, governance, and sustainable improvement."

Read Kellie's Full Bio
Get Started

Schedule Your Operational Integrity Discovery Call Today.

Connect with Kellie Legare directly to discuss your organization's operational integrity needs.

Schedule an Operational Integrity Discovery Call

HOIG

Hospice Operational Integrity Group

Proactive Medication Governance

Assess. Improve. Sustain.

A Division of Bluebonnet Medical Education, LLC

Get Started

Schedule your Medication Governance Assessment with Kellie Legare, RN, BSHA.

Schedule a Consultation

© 2026 Hospice Operational Integrity Group. All rights reserved.

A Division of Bluebonnet Medical Education, LLC