Fractional COO Services

Executive operations,
without the overhead

Visional embeds as your Chief Operating Officer — driving the day-to-day operational systems that let your practice grow without chaos. SOPs, HR, financial tracking, KPIs, team management, and everything in between.

Book a consultation → How it works
Select clientele only
A deliberately small practice — because depth of service matters

Visional takes on a limited number of Fractional COO clients at any time. This isn't a volume business — it's a high-touch engagement where your practice gets genuine executive attention, not a template.

Deep operational integration, not surface-level advice
Direct access to your COO — no account managers
Measurable outcomes with defined KPIs from day one
Engagements designed around your specific practice stage

Scope of work

Hands-on, across every
operational discipline

Fractional COO work at Visional is genuinely hands-on. Not advisory decks — real systems, real processes, real results built inside your practice.

📋
SOPs & Standard Operating Procedures
We build and implement the operational playbooks your team actually uses — from patient intake to treatment protocols to staff escalation flows.
  • Clinical workflow documentation
  • Front desk & scheduling SOPs
  • Onboarding & training materials
  • Compliance and safety procedures
👥
HR & Employee Management
From hiring to performance management, we build the people infrastructure that lets your team operate effectively and your practice retain top talent.
  • Job descriptions & hiring frameworks
  • Performance review systems
  • Compensation structure design
  • Staff accountability & culture
📊
Financial Planning & Tracking
We partner with your financial team to build the visibility and discipline your practice needs to grow profitably and sustainably.
  • Monthly P&L review and analysis
  • Budget development & variance tracking
  • Revenue cycle oversight
  • Cost structure optimization
🎯
KPIs & Performance Dashboards
We define the metrics that actually matter for your practice stage and build the dashboards your leadership team reviews weekly.
  • Practice-specific KPI framework
  • Weekly & monthly reporting cadence
  • Provider productivity metrics
  • Patient retention & acquisition tracking
🔧
Systems & Technology
We audit your technology stack, identify gaps, and implement the right tools — then train your team to actually use them.
  • EMR & practice management optimization
  • Scheduling & capacity planning
  • Automation and workflow tools
  • Vendor management & contract review
📈
Growth Strategy & Execution
We translate your growth vision into executable operational plans — with the accountability structure to make sure they actually happen.
  • New service line launches
  • Location expansion planning
  • Partnership & referral development
  • Team scaling & org design

How it works

Embedded, not advisory

The difference between a Fractional COO and a consultant is accountability. We don't hand you a report — we stay until it's working.

01
Discovery & operational audit
We spend the first two weeks inside your practice — learning your workflows, team, financials, and the gaps costing you time and revenue.
02
90-day operational roadmap
We build a prioritized plan — the highest-leverage changes first, with clear owners, timelines, and success metrics.
03
Ongoing embedded operations
Monthly retainer engagement with weekly check-ins, real-time availability, and direct involvement in decisions that matter.
04
Measured outcomes
Every quarter we review KPIs against baseline — your practice should be measurably better. That's the standard we hold ourselves to.
"The practices that scale successfully aren't the ones with the best clinical talent — they're the ones who built the operational infrastructure to support it."
— Jaclyn Van Dril, Founder, Visional
Fortune 500
Operations background before founding Visional
Select
Client roster — intentionally limited for service quality
Nationwide
Remote-first, available across all US markets

Is this right for you?

Built for practices at
a specific inflection point

Fractional COO support works best for practices that have proven their model and are ready to scale — but don't yet need (or want) a $200k full-time operations hire.

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Med Spas & Aesthetics Practices
Single or multi-location practices managing rapid growth, staff turnover, or the transition from owner-operated to professionally managed.
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Dermatology Practices
Physician-led practices where clinical staff are stretched too thin on operations — and the physicians need someone to own the business side.
🌿
Wellness Clinics
Functional medicine, integrative health, and wellness practices building scalable systems for the first time after early-stage growth.
🚀
New Practice Launches
Founders launching their first practice who want to build the right operational foundation from day one — not rebuild it 18 months later.

Ready to talk?

Client spots are limited — let's find out if we're the right fit

Every engagement starts with a no-obligation consultation. We'll assess your current operational state, identify the highest-leverage opportunities, and determine whether a Fractional COO engagement makes sense for your practice.

Book a free consultation → Back to Visional