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
Jaclyn Van Dril, Founder of Visional

About Jaclyn

The operational partner your
practice has been waiting for

I'm Jaclyn Van Dril, the founder of Visional and the person you'll actually work with. I come from a Fortune 500 operations background and made a deliberate choice to bring that caliber of operational thinking to the practices that need it most — med spas, dermatology clinics, and wellness practices that are growing fast but don't yet have the infrastructure to match.

I take on a small number of Fractional COO clients at any time. That's not a marketing line — it's how I ensure that every client gets genuine executive attention. When you work with Visional, you have direct access to me. Not an account manager. Not a junior associate. Me.

I'm based in Chicago and work with practices nationwide. Every engagement starts with understanding your specific practice — your stage, your team, your goals — before we ever talk about systems or deliverables.

Book a consultation → Learn more about Jaclyn

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.

Med Spas & Aesthetics Practices
Single or multi-location practices managing rapid growth, staff turnover, or the transition from owner-operated to professionally managed.
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