PhysDESIGN.com, Inc. (800) 337-7494 The Local Search Engine Optimization Handbook for Physicians Everything a doctor’s office needs to know to get local leads. Why Optimize for Local Search? It's In the Numbers. G oogle estimates that 97% of consumers search for information about local businesses and services. Another factor that has really increased numbers of local searches is the massive growth in the use of smartphones and tablets to access the internet. People use their mobile devices like portable Yellow Pages, and seek out nearby bars, gyms and restaurants – and physicians - when they are on the move. • By 2016, 88% of local advertising will be delivered on a mobile device (Source: *Borrell Associates 2012) • 61% of searchers consider local results to be more relevant than standard search results (Resource.com) • Approximately 3 billion search queries contain local terms every month (Source: comScore) • 70% of online searchers will use local search to find offline businesses (Source: Kelsey Group) So it is well worth finding out how local search management and optimization works so you can get the edge on your local competitors and grow your medical business. Here's the lowdown on local searches for doctors. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 2 What is a local search? Anyone with even the most basic experience of search engines will include a geo-specific term in their search if they are looking for a doctor nearby. It could be a state or region but is more likely to be something closer to their home: a doctor they know, a search for a specific specialty in a specific geographic area. The results the search engine brings up will have specific businesses and information such as names, phone numbers, addresses and even map locations. You’re probably familiar with the mapped results that Google displays for local searches. In BING, you may have even seen the carousel of images that they have showing for some local searches. A – pay per click advertisement B – “Google My Business” results C – organic search results The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 3 Do I really need to care? If you care about your medical practice’s online presence then you need to think locally. Local searches are the lifeblood of most doctor offices and if your office isn't appearing on local searches you are putting your medical business at risk. A local search instantly connects current patients and prospective patients with doctors performing the relevant medical services. And patients are doing more than searching, with some 75% performing "additional actions" such as looking for more information about your practice, you as an individual doctor, checking out physician review sites and other sources beside your website – and stacking your qualifications against your local competitor. 75% 88% of consumers who search for a type of local business on a mobile device call or go to that business within 24 hours. (Source: Google Mobile Movement Study) 88% The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 4 What about mobile devices? Patients – both current and prospective – are increasingly using their phones and tablet devices to research and select local doctors in their local markets. Whatever type of business we are talking about running - an IT shop, a bar, a butchers or a doctor’s office, you have to be set up so that mobile users can find you. In 2015, more local searches came from mobile devices than desktop or laptop computers. And mobile users are more likely to be seeking out local info than someone at home. 42% of smartphone owners are doing at least four local searches a week. (Source: http://www.iab.net/localsearch.) Source: http://www.iab.net/localsearch The Local Search Engine Optimization Handbook for Physicians http://physdesign.com According to Google's own research, "50% of consumers who conducted a local search on their smartphone visited a store within a day, and 34% who searched on computer or tablet did the same.“ (Source: Google, Understanding Consumers’ Local Search Behavior) 5 How are people searching locally? 80% of traffic to a website begins with a search query (Source: Formstack) 50% of local searches do not occur on search engines, but on directories and apps. (Source ComSource) 61% of searchers consider local results to be more relevant than standard search results (Resource.com) Patients Typically encounter local listings in one of three scenarios Searching for a specific doctor or doctors’ office The patient searches for a doctor by the doctor’s name, address and/or phone number. Doctors should aim to have an accurate listing surface that reflects their correct name spelling, address and phone contact information. Using local search as an exploratory tool Here, the patient is looking for information to help select a doctor by searching by keyword and location. For example, “cardiologist in boca raton.” For these searches, your website content and ranking prove critical. Contextual discovery Activity of the patient such as reading online reviews, participating in group discussions, researching medical conditions, or looking at a Google map can be used to target relevant local doctors. Local doctors are often displayed alongside such content. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 6 How can local searches work for your medical practice? To get their attention, you need to know WHERE patients are searching, and WHAT information they are seeking out. Search Engines Maps - as with the Google homepage, you - an increasingly popular way to search the local area is by a pinpoint on a will get a list of results, some paid map offered by Google, Bing or Mapquest, etc. These show doctor office listings. Your medical practice can link information when selected. Map apps are great for local patients (both from these listings when patients want current and prospective) as they can visualize where your office is located. more information. Social Media Online Directories - is a great way to reach out to patients as consumers and to find you - like the old Yellow Pages only less based on positive reviews of former and current patients. You are also bulky, directories offer doctor office integrating yourself into your patients' personal online space and you profiles, important information and also can find out about who uses your medical services. allow paid for and organic results. Local Apps Healthgrades, RateMDs, Vitals, Yelp, Yext, Foursquare, etc. Local apps for mobile devices - mobile devices are those most likely to be used for local doctor searches and many apps have been created to locate the nearest obstetrician, cardiologist, family doctor, etc.. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 7 So, how do I ensure my doctor’s office appears in local searches? Getting your medical practice into local searches is challenging. There are many Internet companies offering local area searches and they draw their data from multiple sources. There are also the results of searches from big search engines that extract pertinent information from sites. You need to understand where prospective patients are searching for information and ensure your physician’s office appears, whatever parameters are used. It is essential to get listed on certain directories: Google+ Local, Yahoo! Local and Bing Places for Business should be the minimum required for any small businesses. It is also worth talking to patients about how they discovered your medical practice - Yelp and Citysearch are good for this. … and because you are a doctor, you will want to be conscience of the Physician Review websites, such as Healthgrades.com, RateMDs.com and Vitals.com, just to name a few. We talk more about Physician Review Websites below. Below we will provide some general step-bystep instructions to help you get you started on the right path to local SEO optimization. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 8 Managing your listings There are two ways that your information can then be disseminated. Listing data aggregators Manually Listing data aggregators like Neustar You can do it manually by going through Localeze or Yext make it easy to manage your different listing sites and filling out forms with listings across many directories. By uploading your data. This gives it an "owner verified status" your information to their databases, your listing that can improve your performance within that gets distributed to all the directories they partner site, but it is a time-consuming process with. This can save you a great deal of time and frustration if you have multiple locations. . A good strategy is mixing these two tactics together. You can manually claim your most important listings like Google+ Local, Yahoo! Local, Bing Places for Business and Yelp and then work with a listing aggregator to cover the remaining mass of directories out there. As you will see, there are specific ways to manage either way you manage your listings. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 9 Potential Problems. Duplicate Listings Duplicate listings - with search engines getting information from several sources, overlaps mean that there can be more than one listing for one doctor’s office location. This can be confusing for the people searching and they may end up bypassing your office altogether. So it's vital that all information is consistent, each and every time. If your medical practice has multiple listings for the same address, that’s a bad thing. We see this a lot with physician groups that have individual Google My Business profiles for each doctor. Don’t fall into this trap. To find out if you have any duplicate listings, visit Google MapMaker. Remove any Google duplicate pages you have access to and reach out to owners of pages that share your business’ address, name, or phone number. We’ll provide some steps you can take later. Inactive Listings Have you changed the name of your doctor’s office or physician group, moved address or even changed your web address? Then your old information is still out there and sending patients in the wrong direction. You have to make sure that out-of-date listings are removed by tracking down the people hosting it. You should always keep your presence fresh and relevant. You may never track down every inaccuracy: after all look at what you are dealing with. The spider's web that is the Local Search Ecosystem! 1. Source: https://getlisted.org/static/resources/local_search_ecosyste m.pdf 2. The Local Search Ecosystem is complicated so a certain level of duplication and inaccurate listings are inevitable; however, keeping these to a minimum by maintaining the accuracy of your data (either through manual updates or working with a listing aggregator) will help search engines and directories keep things organized. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 10 Local Search Ecosystem In the United States, there are If your medical practice information is incorrect at four primary sources of data for all the any of these major providers, it may override what the major search engines: Infogroup, major search engines have in their own database. And if Acxiom, Localeze, and Factual. Other you're not included in the databases of these major companies like Yellowpages.com, providers, your business is not going to rank as well in Citysearch, and Superpages.com can Google, Yahoo, or Bing. also play a role in this cycle, sending "fresh" feeds to the search engines every couple of months. In addition to the major search engines, there are a myriad of secondary search engines that are also valuable in driving traffic to your website— and hopefully bringing you more medical business. Most of these secondary portals get their data from the exact same places that Google and Bing do—just one more reason you need to make sure your business information is correct at those handful of primary providers. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 11 7 Steps to Better Local SEO for Doctors We’ve put together some “best practices” for your review. While not exhaustive, they will give you a good jump start on the road to better Local SEO The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 12 Claim your address on Google My Business (GMB) You know those little boxes that appear in Google search results listing company names, addresses and hours of operation? That is Google My Business. Google My Business boosts visibility in search, map searches, and Google+. As far as SEO goes, if you’re not on Google My Business, then you have no business. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 13 Google My Places Google My Business is a free service that complements your existing website by giving your business a public identity and presence on Google. The information you provide about your business can appear on Google Search, Maps, and Google+. Getting medical practice listed on Google My Business is as simple as visiting Google’s dedicated site and signing in to claim or add your business address. You then go through a simple verification process of sending a postcard back to Google or, in some cases, verifying by phone or through instant verification. A full explanation of how to get your business on Google My Business is available on Google’s support page, however, we have included the most important steps below. Once your listing is approved, make sure you optimize it with a lot of photos that include keyword-rich descriptions that let visitors know what your firm is all about. Update: January 2016 Google recently made updates to how their local business listings appear in search (replacing a listing of 7 with a listing of 3 GMBs), and they gave their Google My Business dashboard a facelift, too. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 14 Some likely scenarios in setting up a GMB listing or listings Single location – one doctor If you are the only public-facing doctor at a given location, and you are looking for more presence online, it is advisable that you create a unique GMB page which is dedicated to you and the practice as one. Users searching for you will find the office information and users searching for the office or its services will find you as the primary contact. Google suggests this format: “Create a single listing, named using the following format: [brand/company]: [practitioner name].” (source: https://support.google.com/business/answer/3038177) Single location – multiple doctors A typical scenario is for multiple doctors to be hosted under a single location, in which case the practice should create a separate local page with a verified address, phone number, and any additional information. Practitioners who work for the practice can create individual pages which contain the contact details of the practice but it is important that the business name of the page is that of the practitioner and does not include the practice name. Single location – multiple practices Often a single practice provides a variety of medical services that are sometimes not entirely related. For example, you could be the owner of a clinic with departments specializing in gastroenterology, neurosurgery, orthopedics, pediatrics and immunizations. These departments can have different hours of operation and specifications, and it is advisable that they have their separate pages. Multiple locations – multiple doctors Particular caution is advisable if your practice involves a constant change of locations and multiple practitioners. Setting up a GMB page, in this case, can prove to be challenging as there are some factors to consider. Will each practitioner have their separate page? If so, what will be the address listed? It is not rare that practitioners leave practices and move to other physician groups or hospitals so it is worth thinking about this possibility and the potential impact this will have on your practice. It is important to follow Google’s guidelines on managing a Google My Business page in this circumstance. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 15 There’s an App for that! Access Google My Places by Desktop … … or your Mobile Device using the Google My Places App The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 16 Step-by-Step Process to get on Google My Places 1 Step 1 Registering your medical practice on Google is a quick and easy stepby-step process. All you need is a Gmail account, a phone number and address. Go to www.google.com/business and click on the Start Now. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 17 Step-by-Step Process to get on Google My Places 2 Step 2 Once you sign in, you will see a map. In the search box (refer to below screenshot), you can search for your business. If you are not logged into your Gmail account, you will be prompted to do so at this point. Once have logged in, a map of the United States will appear, and on the left you will see a form asking for your business name and address. This is the start of the registration process for your medical business or individual page listing, this form also ensures that your medical practice business or name isn’t already listed. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 18 Step-by-Step Process to get on Google My Places 3 Step 3 Occasionally your business will already be listed with Google. If it is, you want to capture that listing and claim it as your own. If you have not registered your office or name previously, Google shouldn’t be able to find any search results. At this point the form will have a drop down button saying “None of these match. Add your business.” Click this button to continue. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 19 Step-by-Step Process to get on Google My Places 4 Step 4 Once you click on ‘Add your business’, you will be taken to new window where another form will pop-up, asking for your business’s name, country/region, address, main business phone number and category (meaning what type of medical practice is it). Finally, you have to answer if your business delivers goods and services, here you will check “no.” Once all these fields are complete click “Continue.” For reasons detailed later, be sure you enter the medical practice name, address and phone EXACTLY how you will want it to appear across the internet. A tip on “categories” … you can select “doctor”, but there are some that may be more accurate and helpful, such as “cardiologist,” “medical center,” and “pain management physician” The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 20 Step-by-Step Process to get on Google My Places 5 Step 5 After clicking continue, the next page will show a map with an arrow above your practice address. Additionally, a form will appear with your Medical business’s name, address and phone number. Below that information will be a check box, asking you if you are authorized to manage this business and that you agree to the Terms of Service. Check the box and hit continue. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 21 Step-by-Step Process to get on Google My Places 6 Step 6 The final step in the process is to get a verification code from Google. As a safety precaution, Google will not let your business appear until you verify that your business is legitimate. Google will mail your verification code to you on a postcard within one week. Once you have the card you will return to your Google business account at ww.google.com/business/ and type in the code. Once completed your business will appear on Google. Once your office is verified, you can edit your My Business page to reflect your Medical practice’s brand. You can add a description, keywords and images to make your profile match your website. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 22 Get your “NAP” consistent and on every page Set Up Your NAP You've got to make it easy for people and search engines to find you. To do this, set up your NAP, which stands for name, address, and phone number (with area code). This should be included as crawlable HTML text on your site. Avoid the common mistake of only including the NAP within an image -- images can’t be crawled from search engines like HTML text. The most common location for the NAP is in the footer or header of the site. How much information a publisher requires can vary, but always think NAP (Name Address Phone)! These need to be consistent over every site. Don't vary the way you write the address or name of the business or you will get duplicate listings. Add business hours and a mini-description of your company as well as the name of the city and state. Social media links are important and are a big part of your online reputation. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 23 “NAP” Consistency is Key with NAP Consistency is Key ! In addition to ensuring that you have an up-to-date, accurate listing on Google My Business, you should also have one on both Bing Places for Business and Yext (Yahoo’s local listings). If you already have listings on both search engines, double check that the NAP is correct; if you don’t have those listings, make them! Consistent NAP = Good Anytime your NAP information is listed correctly on another website (whether a directory or social media profile), it boosts your medical practice’s credibility with search engines a little bit more, improving the likelihood that you’ll rank for search queries relevant to your practice. In other words, every accurate NAP citation for your office will increase your chances of making it onto Page One of search results! Inconsistent or Incorrect NAP = Bad When your NAP citations are incorrect or provide conflicting information, you won’t get “credit” from search engines, which hurts your local rankings and makes it less likely that potential patients will find you when searching for the medical services you provide. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 24 Publish fresh, relevant & original content, consistently Marketers who have prioritized blogging are 13x more likely to enjoy positive return on investment (ROI). (HubSpot State of Inbound, 2014) Companies who blog receive 97% more links to their website. (Business2Community.com) “Content is an important part of any Local SEO effort, so make sure you're not tripping yourself up with thin or duplicate content.” (Source: MOZ) Search engines will give preference to sites that are always publishing new content, so always remain consistent with your blogging and with your About Us, Biography and Service pages. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 25 Get “citations” Make Sure You Deal with the Physician Review Websites One of the most important steps to take to enhance your medical practice’s local SEO is creating additional NAP citations across the web using directories – including those physician review directories that I am sure you have seen. To Google, citations equate to trust in the same way backlinks do. Citations are loosely defined as a link from an authoritative source or directory, review site or local pages directory. Citation links help establish trust with Google through the validation of business information If your practice is already listed in one of these directories, it’s important to make sure that the NAP information on your listings is consistent with the information on your website. If the listing doesn’t exist yet, create one with the correct information If it exists but is inaccurate, update it to reflect the proper NAP. It’s pretty easy to update inaccurate listings— usually, it just requires finding the contact page in the directory website’s footer and filling out a contact form with the proper NAP for your office. The growth of doctor review sites like Healthgrades, RateMDs, Vitals, and ZocDoc makes it abundantly clear that online reviews play a major role in healthcare decisions. Even Yelp is part of this movement; one survey found it to be the most trusted healthcare review site, so it’s not just for pizza and bagels. But reviews play another role as well, and that’s helping patients find you in the first place. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 26 Multiple Office Locations Each office location should have its own web page Gone are the days when you could list “area served” on every website page footer with a reference to every nearby city and/or county. Some doctor office websites still do this, but it’s spammy. A far better approach is to create a web page for every office location. Avoid Footers With “Areas Served” Build individual SEO-friendly location pages This is separate and distinct from your individual Google My Business Pages. Although, it can be helpful to include a link to the relevant GMB listing on the individual location pages. Individual location pages provide search engines and website visitors with your NAP, store hours, unique office descriptions, parking/transit information, promotions, testimonials from happy patients, and more. It's also important you avoid duplicating content across multiple location pages. For single locations, also create a locally descriptive About Us page. For example, instead of having one generic contact page that contains the address and phone of all locations, create one contact page with the main office and additional pages for each of individual office location. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 27 Use social media It may be tempting to skip using social media channels like Business Facebook, Twitter, Google + etc, but there is local SEO value in incorporating these channels into your overall brand Social Signals account for 5.0% of Google’s ranking factors (source: MOZ Local Search Ranking Factors) Social signals within the world of SEO are certainly growing year on year. Maintaining active social media accounts will not also improve local, but also sitewide SEO. Depending on your specialty and your branding philosophy, it’s possible that you have profiles across a variety of social media platforms. That means you have several opportunities for inconsistent NAP information to be spread to consumers and search engines! If you don’t already have profiles on these platforms, don’t fret—the most important ones for you to focus on are Facebook and Google+! Just make sure those listings provide accurate NAP information and you’ll be on the right track. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 28 Encourage online reviews Online reviews, although many physicians may be worried about going for these, are considered an important ranking factor for local SEO search results. Google+ reviews are shown in the search engine results page (SERP) and indicated by stars. Asking your patients to leave positive reviews on Google+ and other online review sites is beneficial. Reviews are among the top 4 ranking factors in local search results (12.3 %) (source: SEMRush) Yes, you saw these before under “NAP.” There, these are important for the consistency of your practice name, address and phone number. Here, they are important for patient reviews and the related ranking factor. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 29 It's worth the effort! So isn't it time you started thinking locally? Summary Accurate NAP info, quality citations strategy, positive online reviews and an optimized website will be the base for your ranking success. Other practices such as producing content on your blog and interacting on social media will be your next step. If you still feel a little overwhelmed with all these steps, and your online marketing to-do list is just too long, especially given your top priority tasks, there is no shame in that! No doctor’s office or physician group website has ever appeared at the top of a Google search straight away. However, stepping up your Internet presence step-by-step is easy, even if you don’t consider hiring a full-time online marketing professional at this stage. But in case you do need a hand … give us a call at (800) 337-7494. Request a Quote (800) 337-7494. The Local Search Engine Optimization Handbook for Physicians http://physdesign.com 30
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