For DSOs tired of pilots that stall and initiatives that die

Your ops team doesn't have time. We do.

You have a closet full of pilots that never made it past three locations, and 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.

Clear aligner / Invisalign program rolloutsFinancing platform adoption (Sunbit, Proceed, etc.)RCM discipline + collections consistencyNew service line rollouts (aesthetics, implants, perio)Vendor program adoption across locations

The real question

“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.

  • 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.

  • 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.

  • Adoption signals + escalation response time
The execution layer we install

Weekly touch points with your offices, tracking adoption doc by doc.

Blockers surface before they kill momentum. Six components, built to be handed back to your team.

01

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
02

Standards + Pathways

Role-based SOPs that match reality (front desk → clinical → billing → marketing ops).

  • "What good looks like" per role
  • Checklists + handoffs
  • Enablement artifacts
03

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
04

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
05

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
06

Proof Pack + Handoff

A measurable record of adoption and wins, plus a handoff plan so the system stays internal.

  • Adoption proof
  • Internal case summary
  • Handoff playbook
The 90-day playbook

Current state → future state → gap strategy → deploy.

Same process every time.

Days 1–14

Diagnose

Stakeholder interviews, KPI baseline, workflow mapping, adoption failure points. We find out what's actually happening.

Output: current state diagnosis
Days 15–30

Design

Future state standards, success metrics, command board, cadence structure, escalation paths.

Output: gap strategy + execution plan
Days 31–60

Deploy

Weekly cadence running. Office-level check-ins active. Blockers surfacing and clearing. Adoption signals tracked.

Output: weekly adoption reports
Days 61–90

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 execute it with you.

Option A · Diagnostic

DSO Execution Audit

$10k–$20k
One-time. Scaled by locations and initiative complexity.
  • Stakeholder interviews + KPI data gathering
  • Workflow mapping + adoption failure points
  • Future state standards by role and location
  • 90-day execution plan you can run internally
Start with the audit
Full service
Option B · Execution

Strategy Governance Retainer

$6,500 / month base
Plus $250–$750 per location per month for office-level cadence. Can be structured as CapEx for PE-backed groups.
  • Weekly office-level check-ins + blocker surfacing
  • Executive reporting + adoption dashboards
  • Standards enforcement + escalation management
  • Scope control + initiative sequencing
  • Proof pack + internal handoff
Discuss the retainer

Scope protection built in

One initiative at a time. Success defined up front. Out-of-scope work gets a change order. No surprises.

FAQ

Straight answers.

What kinds of initiatives are worth this investment?

High-ROI initiatives where the cost of failure is real: clear aligner programs, financing platform adoption, new service line rollouts, RCM discipline, vendor integrations. If it has board-level visibility or EBITDA impact, it's a fit.

We already have an ops team. Why do we need you?

Your ops team is managing a hundred priorities. They don't have time to call every office weekly and track adoption doc by doc. We're not replacing them — we're giving them capacity on the initiatives that matter most.

How is this different from other consultants?

Most consultants run you through a fixed program whether it fits or not. We're process-oriented: same diagnostic framework, but the execution adapts to your reality. And we've been inside DSOs, so we know where the bodies are buried.

Can this be structured as CapEx?

Yes. For PE-backed groups looking at add-backs, we can structure the engagement as a capital expense. Talk to us about your timeline.

How do you prevent scope runaway?

One initiative at a time. KPIs defined before we start. Change orders for anything outside scope. Scope control isn't a nice-to-have, it's a core deliverable.

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.