Your Fractional CHO
(Chief Hygiene Officer)

Transforming DSO Hygiene Departments for Patient-Centered Profitability and Scalability

What is a Fractional CHO?

Don't let that fancy title overwhelm you.

Your Fractional Chief Hygiene Officer is simply someone who has C-suite experience to lead your hygiene department temporarily for a fraction of the time and cost of a full time employee.

Your Fractional Chief Hygiene Officer:

•	Has C-suite experience
•	Provides cost savings from C-suite employee (recruiting, onboard, benefits)
•	Transfers knowledge and experience to your permanent team
•	Provides guidance to create Hygiene systems and protocols
•	Develops Hygiene department for same store success
•	Develops Hygiene department for patient-centered profitability, scalability
•	Fills leadership gaps; grooms existing team for leadership
•	Works with existing Hygiene leaders to develop their organizational skill set

You Want A Robust Hygiene Department For Your Growing DSO,
But Don't Know How. Is This You?

You know that Hygiene is the foundation of your dental practices, yet your Hygiene protocols are inconsistent or non-existent.

Hygiene revenue is below 30% of total production.

You have no structured profitable periodontal protocol.

Hygiene case acceptance is below 50%

Your hygienists are not all on the same page.

Hygiene/dentist partnership is inconsistent or non-existent.

You know you are missing out on hygiene revenue potential.

Patient care lacks focus and consistency.

You know you need Hygiene leadership to scale your company reliably, but you don’t know how.

You have a Hygiene “leader” but that person needs grooming for effective leadership and department potential.

Book Your Discovery Call

Maximize Your Hygiene Department Profitability, Accountability, Patient Care.
Watch Our Video For Energizing And Transforming
Your Hygiene Department.

Book Your Discovery Call

DSO Growth: WALK before you RUN

Too often emerging DSOs are eager to “grow” by quickly acquiring more practices without a solid foundation in place. The foundation of any general dental practice includes a healthy profitable Hygiene Department that:

Produces 33% of total practice production.

Produces at least 50% perio procedures over prophys

Refers 30% of restorative production to the dentist

Enjoys 60-80% case acceptance

Forecasts for growth.

Demonstrates values congruent with company culture

Utilizes consistent clinical and business communication systems

Promotes and fulfills a comprehensive periodontal program

Includes culture that enhances, enriches, and empowers your hygienists

Reviews

Guiding and Empowering

“Janet always sees the potential of what I envision of the future for myself and for my teams. She has helped me get out of my own way, clarify my challenges by guiding and empowering more action and accountability. She has been my non-judgmental accountability partner all along the way.”

- Cindi Roloson RDH
Management Leader, DCNJ

Engaging

"I love what Janet has to say! She helps dentists and teams build a successful and profitable practices. You've got to hear her and do what she says."

- Dr. Paul Homoly, CSP
Homoly Communications Institue

Janet is a clinical expert and treatment acceptance powerhouse

"I was thrilled to hear that Janet Hagerman was adding Fractional CHO to the services that she offers. Having had the opportunity to work with Janet in the dental industry, both within a DSO and externally, she is a go-to resource that you should run to as you build your hygiene team, workflows, and systems. Janet is a clinical expert and treatment acceptance powerhouse, so if you're in dentistry, you already know the two must go hand in hand to have a winning, growing, and thriving hygiene team.

You will love Janet's communication style with her practical and scalable training modules, whether it's for a single practice of one, or a group of one-hundred!"

- Tim Hill, CEO
Espire Dental

Janet is a Thoughtful, Empathetic Leader, adept at integrating Clinical and Business Priorities an exceptional Partner

"Having had the pleasure of working directly with Janet to both develop and launch a company-wide hygiene protocol within a large DSO, I can attest to her leadership skills as well as her strategic and tactical effectiveness. Janet is a thoughtful and empathetic leader in my experience, and sets a clear vision and a high bar for her teams. She is adept at identifying and nurturing talent, evaluating and deploying technology & innovative solutions, and integrating clinical and business priorities into her decision-making. She has been an exceptional partner to me in my career and I highly recommend her to any organization that is looking to maximize growth and sustainability within its hygiene department."

- Tim Garwood, VP sales OraBio,
Strategic DSO Partner

Janet is an extraordinary ally, and a dynamic and dependable professional that delights in celebrating your success

"Janet’s years of expertise and understanding of the dental field make her an extraordinary ally. She has several times over provided exceptional and timely advice, insight and coaching that has helped me grow and advance my career. I cannot express enough the value of having such a dynamic and dependable professional that not only delights in teaching you but in celebrating your success with you."

- Alison Puterbaugh, Implementation Specialist, Specialty Dental Brands

Janet is an Extraordinarily Talented Executive, a most Successful Hygiene Leader, and an Incredible Partner and Resource

"Janet is an extraordinarily talented executive and among the most successful hygiene leaders in the dental industry. I’ve known Janet for nearly 15 years, having worked with Janet in the dental industry, both within a DSO and then externally when we both opened our own consulting practices. I have recommended Janet to my dental clients, and they have benefited from her services. My clients – both dental providers and dental teams - appreciated her direct and practical communication style, and her personable approach.

I’m excited Janet now offers services as Fractional CHO (Chief Hygiene Officer); a much needed option for many of my dental group clients.

Janet’s years of clinical expertise in and knowledge of the dental field paired with her sound business and operations skills make her an incredible partner and resource - particularly for clients building hygiene teams, and processes or who need some help in bringing teams to the “next level” in performance and patient care. "

- Trish Huie, PLLC, Attorney

Contact Janet To Schedule Your Discovery Call Today!

Janet Hagerman | Fractional CHO | International Speaker & Author | Case Acceptance Coach

Are you a DSO wanting to develop your Hygiene Department but don’t know how?

Get the Help You Need From your Fractional Chief Hygiene Officer

for DSO foundational Hygiene Department growth and scalability with
consistent, profitable, patient-centered systems

Book a Discovery Call

Janet Hagerman, 3482 Keith Bridge Rd, Suite 282, Cumming, GA 30041 - 678-372-8234 - janethagerman.com - 6/29/2025 - Key Phrases: dental practice consultant Cumming GA -

Your Fractional CHO (Chief Hygiene Officer)