CascadEffects is a fractional COO and business transformation firm dedicated to empowering entrepreneurial healthcare leaders - especially in orthodontics and dentistry - to unlock scalable growth through structured leadership, strategic accountability, and team empowerment.
At CascadEffects, we don't just advise - we embed. We step in as your fractional COO to build the strategy, structure, and systems your business needs to run with clarity and confidence. This isn't about quick fixes. It's about creating real, lasting momentum - and turning your team into a high-performing, self-led operation that doesn't rely on hand holding to thrive.
Our Approach
- COO-Level Partnership - Embedded leadership that acts like a true extension of your team.
- Strategy Creation & Execution - Your big-picture goals, turned into weekly traction and real progress.
- Process Development & Optimization - No more reinventing the wheel—just systems that actually stick.
- Leadership Mentorship - Equip your managers to lead, 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 step in as your Fractional COO — assessing your current state, defining your vision, and setting the strategy that aligns your team and fuels forward momentum.
Execution and Accountability
Execution and Accountability
Execution and Accountability
We work alongside your existing leadership to execute the strategy, install accountability systems, and drive weekly progress toward measurable results.
Leadership Team Mentoring
Execution and Accountability
Leadership Team Mentoring
We prepare your leadership team to take the reins — mentoring them to lead confidently, sustain growth, and operate independently long after we're gone.
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 leading high-growth healthcare companies as both COO and CMO, Casey has built a reputation for 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 to scale sustainably.
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 fully operationalize it.
Simple systems. Powerful results. Sustainable growth.
“Casey is an executor and strategist. Being able to be a true visionary in the changing orthodontic landscape has been such a breath of fresh air. Ideas come to fruition, and better yet, they are vetted and refined all along the way. This level of remote support is something that has never been in my toolbox until now. Casey is a game changer 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
Team = Solving problems case by case
Processes = Disjointed and duct-taped
Growth = Happens… when it happens
With CascadEffects
You = Leading like a CEO and clinician
Team = Aligned, accountable, and moving in sync
Processes = Clear, owned, and repeatable
Growth = On purpose. On plan. On fire.
Let’s Stop Hoping for Growth—and Start Engineering It
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