CascadEffects is a business transformation firm that offers fractional COO services, dedicated to empowering entrepreneurial healthcare leaders, particularly in orthodontics and dentistry. We help unlock scalable growth through structured leadership, strategic accountability, and team empowerment.
At CascadEffects, we don't just advise - we embed. We serve as your fractional COO, focusing on business transformation by building the strategy, structure, and systems your organization needs to operate with clarity and confidence. This approach isn't about quick fixes; it's about fostering real, lasting momentum. Our goal is to transform your team into a high-performing, self-led operation that thrives without needing constant oversight.
Our Approach
COO-Level Partnership - Embedded leadership that acts as a true extension of your team, enhancing healthcare leadership.
Strategy Creation & Execution - Your big-picture goals transformed into weekly traction and tangible progress.
Process Development & Optimization - No more reinventing the wheel—just effective systems that truly stick.
Leadership Mentorship - Equip your managers to lead effectively, not just manage.
Team Accountability Systems - Because performance shouldn't depend on how loud you yell.
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Our Process
Fractional COO
Execution and Accountability
Execution and Accountability
We serve as your fractional COO, guiding your business transformation by assessing your current state, defining your vision, and developing a strategy that aligns your team and drives forward momentum in healthcare leadership.
Execution and Accountability
Execution and Accountability
Execution and Accountability
We collaborate with your existing healthcare leadership to implement business transformation strategies, establish accountability systems, and drive weekly progress toward measurable results with the support of a fractional COO.
Leadership Team Mentoring
Execution and Accountability
Leadership Team Mentoring
We prepare your leadership team for effective business transformation — mentoring them to lead confidently, sustain growth, and operate independently as a fractional COO long after we're gone, particularly in the realm of healthcare leadership.
About CascadEffects
CascadEffects was founded by Casey Bull, a seasoned healthcare executive with deep expertise in medical, dental, and orthodontic practice growth. With over a decade of experience leading high-growth healthcare companies in roles such as COO and CMO, Casey has built a reputation for fostering healthcare leadership, developing high-performing teams, establishing operational discipline, and driving long-term practice success. Her background spans strategic marketing, operational efficiency, and leadership development—particularly within orthodontics. Through years of consulting, a consistent pattern emerged: many practices became overly reliant on external guidance, lacking the internal leadership infrastructure necessary for sustainable business transformation. CascadEffects was created to address that gap. By stepping in as a fractional COO, the focus shifts from dependency to capability—implementing the systems, rhythms, and leadership development needed to create alignment, accountability, and self-sufficiency across the team. Execution—not just strategy—is the cornerstone. CascadEffects helps practices not only design the right plan but also fully operationalize it.
Simple systems. Powerful results. Sustainable growth.
“Casey is an executor and strategist, playing a crucial role in business transformation. Her ability to be a true visionary in the evolving orthodontic landscape has been such a breath of fresh air. Ideas not only come to fruition, but they are also vetted and refined along the way, showcasing her exceptional skills as a fractional COO. This level of remote support is something that has never been in my toolbox until now. Casey is a game changer in healthcare leadership, and I am excited to write a new chapter with her.”
Dr. Anil Idiculla, Founder of i-Ortho and Peak Orthodontics
Without CascadEffects
You = Stuck in the weeds of your business transformation efforts. Team = Solving problems case by case, often without cohesive strategies. Processes = Disjointed and duct-taped, lacking the guidance of a fractional COO. Growth = Happens… when it happens, especially in the context of effective healthcare leadership.
With CascadEffects
You = Leading like a CEO and clinician in the realm of healthcare leadership. Team = Aligned, accountable, and moving in sync towards business transformation. Processes = Clear, owned, and repeatable, ensuring efficiency. Growth = On purpose. On plan. On fire, driven by the expertise of a fractional COO.
Let’s Stop Hoping for Growth—and Start Engineering It
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