Your ops team doesn't have time. We do.
You have a closet full of pilots that never made it past three locations. Your ops leaders are stretched too thin to drive adoption office by office. ASC becomes the execution layer that turns high-stakes initiatives into adopted standards— with weekly cadence, office-level tracking, and proof it's working.
What you're buying: an execution partner who's been inside DSOs and knows how to get office-level adoption— so your high-ROI initiatives actually hit the numbers you promised the board.
- ✓ Clear aligner / Invisalign program rollouts
- ✓ Financing platform adoption (Sunbit, Proceed, etc.)
- ✓ RCM discipline + collections consistency
- ✓ New service line rollouts (aesthetics, implants, perio)
- ✓ Vendor program adoption across locations
"Do we actually know if this is working at the office level—or do we just hope it is?" If you're guessing, that's what we fix.
Why this matters to your board
Every initiative you roll out is a bet. We help you win those bets—with proof.
Protect EBITDA
Your high-ROI initiatives (financing, clear aligners, new service lines) only hit projections if offices actually adopt them. We make sure they do.
Measured by: case acceptance, utilization, revenue per location
Build enterprise value
PE buyers pay for consistency and scalability. We document your operating standards so they're repeatable—not tribal knowledge.
Measured by: variance reduction + documented SOPs
Reduce downside risk
What's the cost if this initiative fails? Cybersecurity gaps, compliance drift, failed integrations. We track the signals before they become problems.
Measured by: adoption signals + escalation response time
Why initiatives fail (and how we fix it)
Your ops team is stretched too thin
They're managing a million priorities. Nobody has time to call every office weekly and track adoption doc by doc. We do that.
You're guessing, not knowing
"We think it's working. We hope it's going well." That's not a strategy. We give you office-level visibility so you actually know.
The execution layer we install
The magic is weekly touch points with your offices—tracking adoption doc by doc, surfacing blockers before they kill momentum.
1) Command Board
Single source of truth for initiative scope, owners, location status, due dates, blockers, and escalation triggers.
- ✓ initiative map + owners
- ✓ location-level adoption tracking
- ✓ escalation workflow
2) Standards + Pathways
Role-based SOPs that match reality (front desk → clinical → billing → marketing ops).
- ✓ "what good looks like" per role
- ✓ checklists + handoffs
- ✓ enablement artifacts
3) KPI + Adoption Lens
A small set of leading indicators that show adoption early—before quarterly lag metrics disappoint you.
- ✓ adoption % + variance
- ✓ time-to-standard
- ✓ KPI deltas
4) Office-Level Cadence
Weekly or biweekly touch points with docs and front office. This is where blockers surface—before they become excuses.
- ✓ 5-15 min check-ins per office
- ✓ blocker identification + escalation
- ✓ executive rollup reporting
5) Scope Control
The "one initiative" rule, defined success, and change orders—so your team doesn't drown.
- ✓ scoped initiative charter
- ✓ KPI definition up front
- ✓ change order framework
6) Proof Pack + Handoff
A measurable record of adoption + wins and a handoff plan so the system stays internal.
- ✓ adoption proof
- ✓ internal case summary
- ✓ handoff playbook
The 90-day playbook
Same process every time: Current state → Future state → Gap strategy → Deploy.
Diagnose
Stakeholder interviews, KPI baseline, workflow mapping, adoption failure points. We find out what's actually happening.
Output: Current state diagnosis
Design
Future state standards, success metrics, command board, cadence structure, escalation paths.
Output: Gap strategy + execution plan
Deploy
Weekly cadence running. Office-level check-ins active. Blockers surfacing and clearing. Adoption signals tracked.
Output: Weekly adoption reports
Prove + Handoff
Proof pack documenting adoption, playbook finalization, internal owners trained to run cadence without us.
Output: Proof pack + internal ownership
Two ways to start
Pay us to diagnose the current state and build the plan. Or pay us to actually execute it with you.
DSO Execution Audit
Current state → Future state → Gap strategy → 90-day rollout plan.
- Stakeholder interviews + KPI data gathering
- Workflow mapping + adoption failure points
- Future state standards by role/location
- 90-day execution plan you can run internally
You get: a plan you can approve and execute with your own team.
Strategy Governance Retainer
We run the cadence, track adoption, and report progress while your team executes locally.
- Weekly office-level check-ins + blocker surfacing
- Executive reporting + adoption dashboards
- Standards enforcement + escalation management
- Scope control + initiative sequencing
You get: measurable adoption progress every week—not just hope.
Pricing
Per-location model. Can be structured as CapEx for PE-backed groups.
Diagnostic
DSO Execution Audit
One-time. Scaled by locations + initiative complexity.
Execution
Strategy Governance Retainer
+ $250–$750 per location/month for office-level cadence.
| What's included | Audit | Retainer |
|---|---|---|
| Current state diagnosis | ✓ | ✓ |
| Future state + gap strategy | ✓ | ✓ |
| 90-day execution plan | ✓ | ✓ |
| Weekly office-level check-ins | — | ✓ |
| Executive reporting + dashboards | — | ✓ |
| Blocker escalation management | — | ✓ |
| Proof pack + internal handoff | — | ✓ |
Scope protection built in
One initiative at a time. Success defined up front. Out-of-scope work gets a change order. No surprises.
Get Started
Book an intro call or ask us a question.
FAQ
What kinds of initiatives are worth this investment?
We already have an ops team. Why do we need you?
How is this different from other consultants?
Can this be structured as CapEx?
How do you prevent scope runaway?
Your pilot graveyard is full. Time to change the pattern.
If you want initiatives to hit the numbers you promised the board, you need someone tracking adoption office by office, week by week. We do that—and hand it off when you're ready to run it internally.