Fractional COO & Operational Improvement

Is running your business taking over your day?

For law firms, medical practices, and other professional service business owners.

We identify where your business is losing time and money, lead the improvements, and work directly with your team to resolve more independently—giving you more time for clients, growth, and life.

What We Handle

Stronger Operations. More Room To Grow.

A More Capable Team

Does every issue end up with you?We coach your team to spot gaps, resolve routine problems, and know when to escalate.

Business Process Improvement

Where is work costing you time or money?We identify the gaps, assess their impact, redesign the workflow, and lead the changes with your team.

Systems That Support Growth

Is growth creating more work?We improve how your tools work together, automate where useful, and track results as your business changes.

Two Ways To Work Together

Ongoing Support Or One Focused Project.

Ongoing Leadership

Fractional COO

Ongoing operational leadership to find and fix gaps, develop your team, and keep improving as your business grows.

Scope At A Glance

Part-time operational leadership within agreed business areas, beginning with one active improvement priority and an initial three-month engagement.

Your proposal confirms responsibilities, decision authority, availability, escalation response times, and progress reviews. Additional software, specialist work, and expanded scope are approved separately.

What’s Included
  • Operations assessment and a prioritized improvement plan.
  • Implementation of agreed workflow and process improvements.
  • One-on-one coaching for your team.
  • Team training matched to their responsibilities.
  • Escalation support and clear decision paths.
  • A dashboard, progress updates, and continuing improvement.

A Defined Project

Focused Project

Resolve one operational problem through assessment, implementation, training, and a handover your team can maintain.

Scope At A Glance

One defined operational problem, with agreed deliverables, a project fee, a timeline, and a clear finish line. The proposal sets the workflow, people, locations, and changes included.

Implementation, training, and handover follow that scope. Extra workflows, additional technology, specialist work, and ongoing support are optional add-ons. An assessment-only option is available if you want a plan first.

What’s Included
  • Current-state review and a summary of the business impact.
  • An agreed improvement plan and future workflow.
  • Implementation of the changes defined in your proposal.
  • Practical process guidance and clear ownership.
  • Team training within the agreed scope.
  • Results review, handover, and agreed completion criteria.
  • Review of current tools, automation, and AI suitability.

Experience Behind The Work

Improvements With Measurable Results.

Examples And Details

Shorter Approval Time

Redesigned review steps, responsibilities, and follow-up across a 90-plan program, reducing approval time by 46%.

Lower Operating Overhead

Negotiated vendor terms and introduced stronger purchasing practices, reducing operating overhead by 25% in a separate small-business role.

Keisha Lettsome, founder of The Lettsome Firm

Meet the Founder

Meet Keisha Lettsome

I’m Keisha, founder of The Lettsome Firm. I bring experience leading governance programs across 90 countries as a vice president in a Fortune 500 organization.

I work closely with your team to find operational gaps, put improvements into practice, and build their confidence to solve problems before they reach you.

MBA · PMP® · Lean Six Sigma

Doctor of Business Administration, Florida International University
In progress · Expected 2028

What Would You Like Off Your Plate?

Tell us what keeps pulling you away from clients, patients, or life outside work. We’ll discuss where help would make the biggest difference.

Book a Free 30-Minute Call

Prefer to write? Use the form or email keisha@lettsomeconsulting.com.

Based in Central Florida, supporting professional service businesses locally and remotely.

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