The quality score is a way for Google to keep a high “quality” advertising network. It punishes people for being dishonest and stupid.

So if your website is selling chiropractic services, you are going to pay a lot more for running ads that only talk about back surgeries and don’t mention chiropractic. In many cases you will pay 10 times more!

Therefore, you do not want to make Google mad when it comes to quality score.

Let’s look at some things you can do to raise your quality score…

1. Make sure your keyword is in your ad headline. This means if your ad is about back pain, you should have the word back pain in the headline for sure, and possibly the first line and the domain name. That means in this example, don’t write an ad all about chiropractic and not mention the keyword “back pain”. Google will just think your site has nothing to do with back pain and make you pay a lot more for these bids.

2. Use ad groups in your account. We looked at this one above.

3. Use your keyword in your headline on your landing page. Continuing our “back pain” example above, if your site is really about “back pain”, then you should have that phrase prominently on your website somewhere right? If you don’t, another strike against you in Google’s book. More strikes = higher bid prices.

4. Make sure your landing page or main website loads fast. If your site loads slow, and Google’s searchers are going there, then it can make Google look bad. Would you refer one of your patient’s to a restaurant where the service was slow?

5. Use items on your landing page that makes the visitor stay longer (video,
audio, etc). The longer people stay on your site, and the more pages they visit, the more relevant Google thinks your site is to that keyword. If people go to your site after clicking your Adwords ad, and then click the “back button” immediately, that’s going to lower your quality score.

6. Make sure your landing page has a privacy policy link on it. For an example of this, go to http://www.ultimatechiropracticads.com and look at the bottom of the page for the privacy policy.

7. Put a link on your landing page that links to another website with a lot of
content (your blog!). This one is a big factor of quality score. Basically, the more pages you have on your site (or a site you link out to) that is relevant to a keyword, the better off you are. So for the keyword “back pain”, you can’t just have a small website with very few pages about back pain. This is why the blog is so important, because it gives you an “article database” of information to link to, some of which will be about “back pain”.

To  learn more about how to get new patients with Google Adwords, watch a free webinar at ChiroPatientsOnline.com

1. “The average email user receives 147 messages every day, and spends more than 2.5 hours on email a day.”
Wow, that’s a lot of time. I recommend spending no more than 1 hour max per day on email, and only 30 minutes if possible. This means you’ll need to stop receiving emails from people who don’t deliver value. Now you may be wondering why I’m saying this when I send out emails regularly to my list of doctors. But I’m not saying never get emails, only that you should be listening to a handful of people on any one subject, not every single person out there who has an opinion. Hopefully you’re getting value from my emails and this blog, but if you’re not, then you know what to do.

2. The best time to send email messages to your patients is early morning. If you look at the graphs regarding the best time to send emails, they all show that pretty much early morning is the best. Are you doing this now or waiting until later in the afternoon?

This whole infographic was put together by Boomerang for Gmail. I just downloaded the Boomerang plugin for Firefox and look forward to testing it out. Not so much for email broadcasts, but for handling all the individual emails you send or get in your own email box. For broadcasting to your patients, I recommend this email system.

Here’s a short video showing you how Boomerang for Gmail works works.

It’s fairly easy to install and I’ll show you again in the beginning of today’s video. If you have a techy person who does things for you, the installation should take less than 5 minutes.

Here’s how analytics works. Enter the website you want to track, then they give you a short “script” to put on your page.

Every time someone comes to your website, the script is activated and starts tracking what that visitor does. The script is hidden in your website code, so it’s not even visible on your page.

What This Software Can Tell You

Analytics offers many features and Google adds new features monthly. What I want to do is show you which aspects you need to use and how it will increase the amount of new patients you get from the internet.

Here’s what Analytics reveals about your website and why it’s important to you.

Unique Visitors. What you need to know is the number of “unique visitors”. The stat only counts the visit when they first arrive on the site. No matter how many times they return to the website, they will only be counted as one visitor.

Time on site. Time on site is almost always a good thing. Assuming you have some content on your website (articles, videos, etc) the longer a person stays there, the more involved and interested they are in what you have to say. This is not justification for putting up lots of boring content, as people will still leave fast if it’s not interesting.

Sidenote: Also, “time on site” is very important to your Quality Score when running Google Adwords. You may remember in the last lesson we spent some time on quality score. At this point in time, it appears 1 minute is the critical time for your Adwords landing page. If visitors are staying less than 1 minute, you will be punished on your quality score.

Page Views. Depending on the type of website your tracking, a higher number of page views can be a good indication. For example, a blog site where you aren’t selling anything but just giving away free information is a place you want people to view a lot of pages. This is an indication of someone who wants more information from you.

If you have a “traditional” website with navigation bars and links, a high number of page views may be a bad sign. It’s likely that people are clicking around and having trouble finding the information they want.

Pages/visit. “Pages per visit” is a similar stat to the above page views. This is an important number to track if you have a blog. When running a blog, you want visitors to visit quite a few pages per visit. The reason you want this is because it means they are connecting with you each time they come to the site.

Traffic sources. In my opinion, this is one of the most important stats you can know about your website. Your traffic sources will tell you exactly where people are coming from when they land on your blog, landing page or website.

It will tell you if most of your traffic is coming from Google, Yahoo, MSN, AOL, etc. Use this information to go to these search engines and do pay-per-click (PPC) advertising. If you’re already doing PPC,  use this info to increase the PPC according to where your traffic is coming from.

You’ll also know if another website has linked to you, since people will click through the link and visit your site. The traffic sources page can tell you if your social networking is effective, since you may see visitors coming from LinkedIn or Facebook.

After you release a press release on PRweb, you’ll be able to tell how effective it was as a traffic generator. The same goes for posting articles on sites like Ezinearticles.com

Location of your visitors. Analytics will tell you where your website visitors are located down to the city level. This can be valuable if you practice in a populated area with many surrounding cities. You may notice a majority of your traffic coming from a certain area. Using this information, you can make some offline marketing decisions like where you want to advertise in the newspaper, with direct mail, etc.

Bounce Rate. This is one stat you want to be low. The bounce rate is how many people only see one page of your website and “bounce” off. So if you have a 71% bounce rate, that means almost 3/4ths of the people visiting your site are leaving before viewing another page. A high bounce rates means that people are not finding what they want and are hitting the “back” button on their browser. (A high bounce rate can also hurt your Adwords Quality Score.)

A good bounce rate is between 50-60%, as you can’t expect everyone that hits your site to view more than one page.

No, I’m not talking today about B.J. Palmer or issues of mixers and straights.

Here’s what I mean…

There’s a lot talk in chiropractic about “philosophy”, namely the issue over what chiropractor’s believe about their own profession.

Likewise, marketing is always a hot topic because doctors, rightly want to grow their practice, serve more people and increase their incomes.

But one thing you rarely see mentioned is the phrase “philosophy of marketing”.

The word philosophy has many meanings, which can be anything from literal Greek meaning of “the study of wisdom” to the more often used sense of man’s attempt at searching for truth (think Socrates and Plato).

But the meaning I’m after today is neither of these, but simply “a system of principles for guidance in practical affairs.”

So what you need is a system of principles for guidance in marketing! Simple to do, right?

If only it was. If you’ve been around the profession for very long, you’ve heard dozens of different “principles” of marketing.

Here’s a few BAD philosophies of marketing I’ve heard…

• Don’t spend more than $100 per new patient
• Marketing is unethical and is only for snake oil salesmen.
• Just do a ton of spinal screenings and you’ll be fine.
• You’ve gotta just out in the community, pass your card around more.
• Make every patient get their family members check within 10 days, or you “fire the patient”.
• Get a fancy website up and people will flock to your door!

Maybe you think I’m exaggerating? Okay, I only exaggerate a bit on the last one! But the others I have actually heard almost verbatim.

These are not effective philosophies of marketing for your practice. What is a good philosophy?

“I will do any type of ethical marketing as long as it shows a good return on investment.”

This philosophy works because it covers all of the above bad ones and more. To get a good return (ROI), you’ve gotta get qualified new patients, like I recommend with my chiropractic ads.

And it doesn’t matter if you pay $101 per new patient. What matters is the ROI.

Maybe passing out cards is a good idea. Maybe a good website will work. Maybe spinal screenings are effective. But the only way you really know is by measuring their ROI (which in the case of spinal screenings should factor in your time spent.)

That’s my philosophy of marketing. Do you agree or disagree? What’s your philosophy?

The Google image is blacked out. By clicking on the image you’ll end up on their Take Action page which deals with the new SOPA/PIPA legislation before Congress.

Then later today I was reading over at Ryan Healy’s blog and noticed quite a few websites are protesting. Here’s what you’ll see at Wikipedia:

What is SOPA/PIPA and what does it have to do with your website?

Do you market your practice on Facebook, Twitter, or Youtube?

Watch this short video to understand why you should fight against this legislation.

What can you do to stop this censorship, which if passed, will eventually effect your business?

Sign Google’s petition here. And contact your representative. If you’re not sure who your rep is, go to Wikipedia today and they have a neat popup that will look up your representative by zipcode.

This is a question that I’ve been asked in our ChiroPatients Online program.

Here’s the short answer, straight from Matt Cutts (of Google). Matt answered this question in response to this article:

I know it’s already 2 weeks into the year, but if your holiday season is anything like mine, it takes the first week or two in 2012 to actually relax and catch up from the end of the previous year.

One of the things you must do is write down all your plans and goals on a yearly calendar.You can not just wait until you need new patients, and then figure out what to do. This is reactive marketing and you want to be proactive this year.

For years, I used a monthly calendar on the wall that my staff and I could write marketing events down and see what was coming up.

But the furthest you can see on these types of calendars is only 30 days at a time. What we need is a “year at a glance” type of calendar.

Well thankfully this year I found the NeuYear Calendar, which is a complete year at a glance. This will hang great on the wall or back of my door.

I recommend you grab one too, and start planning your monthly marketing events, promotions, ads, etc.

Here’s some benefits listed on their site, which led me to buy one immediately:

• It’s big, coming in at 27″ x 39″ this means you can see the whole year at once. “You no longer have to page through a traditional calendar (or on your small computer screen), to see the whole year. You can layout your goals for the year, set future deadlines, and clearly see the passing of time. Also, it has bigger squares so you can write more.”
• No space between months. “The week is the currency we think in, so this calendar focuses on presenting 52 weeks, rather than 12 months.”
• Brilliant aesthetics. In Making Ideas Happen, author Scott Belsky says “the design of your productivity tools will affect how eager you are to use them; attraction often breeds commitment.”
• 2 calendars in 1! It has a horizontal orientation that fits perfectly above your desk, or you can flip it over for a vertical orientation that fits perfectly on your door.

Now that I shown you which calendar I think is best, what do you do with it?

Call a staff meeting one day during lunch. Start by explaining your mission for your practice and the goals you have for this year.

Then begin brainstorming with your staff about the different types of marketing ideas they have. Make sure to give them room and freedom to talk. Even if they have a bunch of bad ideas, just write them down. You never know when they’ll say something you’ve never thought of.

My staff would often come up with many successful in-office marketing procedures from the past that I had totally forgotten about.

Once you have written down, everything you can think of, start prioritizing your list. Put a “1″ by the most effective, “2″ be second most effective, and so on.

Side note: Do not base effectiveness on what feels like it did the best last year. Feelings do not turn into dollars. Measure effectiveness based on your return on investment numbers you recorded for all marketing last year. And if you didn’t keep good records, go back and see if you can figure it up now. Remember, ROI equals the amount you brought in from a given marketing campaign divided by the money spent on it.

You might want to throw in something new for 2012 that you haven’t tried before. A few suggestions would be:

• Neuropathy or decompression newspaper ads
• Google Adwords
• spinal screenings (but with a caveat, see here)

Then begin writing on your calendar all the 1′s, 2′s, etc. spread out somewhat evenly throughout the year. So you don’t want all your ads to come out in March and have the rest of the year empty.

If you wanted to do it according to budget, you should write the amount to spend beside each campaign to. For example, on February 20th you might write “Run Neuropathy Ad for $1000 or less”. (To see how to save money on running your monthly newspaper ads, watch this free webinar.)

If a month get’s too busy, slide things forward into the next month. You should be marketing every month of the year, no exceptions.

Now you have a marketing calendar set up. Try to stick to it as much as possible. You may need to edit and change things throughout the year. That’s fine, but make sure you take a look at the big picture before making rash decisions.

Do you have any other good ideas on planning your marketing calendar? Let us know in the comments below.

Did you learn any lessons along the way?

Because my year started off kind of crazy (see #1 below), I put off setting any specific goals. By the end of the year, I could see that 2011 hadn’t been much of an improvement over my 2010 goals.

That’s the whole point of setting goals, so that you have something to aim at. So by January 2nd of this year, I already had all my goals listed out on paper. No messing around this year.

While on the business side of things my year was about like the one before, 2011 was still a great year! It was very busy, especially on the family side of things. Looking back over the year, I realize that many of these events taught me (or reminded me if I’d already learned them) that running a business is really about something bigger than just the business.
Lesson #1. Children are a blessing.
On January 3, 2011, very early in the morning (3 AM) we were blessed with a new son, Camden Elijah Beck. It’s hard to imagine he was just a tiny little tike, because now he walks around my office hitting things with a toy hammer and trying to unplug all the wires on my computer.

#2. Set a goal for your family and work hard for it.
Autumn and I have been married for 13 years, and we’ve moved 12 times! After moving to the Texas hill country in the beginning of 2009, we had been renting a smaller house in town until we became familiar with the area.

But as our family grew, we knew it was time to look at buying a home, hopefully with some room for the kids to roam. In May we moved into what my wife calls her “dream home”: something large enough for living, homeschooling and me to have a nice home office!

Here’s a view from the front (before the worst drought in Texas history completely wiped out everything green):

#3. Take time to make memories with your family.
A few years ago, I realized my family and I were not taking enough vacations. So we started an annual beach trip to the gulf coast. This year was much nicer without the threat of oil washing up on the beach, as it had been in 2010 with the Gulf oil spill fiasco.

We also decided to try out the Houston Space Center. While the Center was the kid’s favorite, my favorite part was taking a tour of the NASA research facilities. It’s amazing to see the humanoid robots and spider bots that are being built and testing right in front of us.

Here we are on the dunes of Surfside Beach.

These are the lessons and events that marked by 2011 year. (Let me know yours in the comments below).

Also, here’s a neat video showing some major events searched for on Google in 2011. (Notice how fast Google is becoming a major news source? Expect more from me on this blog showing you how to get the most out of Google in 2012!)

I know, you’re probably thinking print newsletters have gone the way of the dinosaur, and that email, Facebook, etc. are “da bomb!” But the fact is people are starting to demand a more personal relationship with their businesses. All you have to do is look at the Occupy Wall Street movement to sense how people now see a big gap between the products they buy and the companies who provide them. (Also, for more on this, watch the second video here on Dr. Loop’s blog.)

What about email newsletters you ask? You should be sending those too, at least 2 per month. But does it mean more to you to receive a birthday card by snail mail or an e-card? Sending a print newsletter with a real postage stamp is still a very effective way to communicate with current patients and get more referrals.

2. Videos will be more effective on your website.

Video has been around for a number of years on the internet, but it really hasn’t become the norm yet. However I think in 2012 that will start to shift. A few reasons for this are: almost everyone has some type of broadband internet access now, Youtube is more popular than ever, and sites like Facebook are using more video. At the least you should test a video of yourself on the landing page of our website to see if it increases conversions. Using tools like Google website Optimizer will let you easily figure out if videos are more or less effective for your site.

3. Neuropathy, Decompression and other niche specific newspaper ads will continue to get high returns.

Like the print newsletters mentioned above, you may have bought into the lie that newspapers are now extinct. However, in most markets, this is not the case. Many of my clients got their best returns ever on newspaper ads in 2011, especially when using neuropathy and decompression ads. I know there are plenty of other people out there telling you how a jillion internet things will bring in hundreds of patients. And some of it will bring in patients. But don’t neglect the trusted source of patients like the newspaper. The key is using very good copywriting to reach specific niches that are really responsive.

4. Facebook, Google + and other Social Marketing sites will become more important in your chiropractic marketing plan.

Many chiropractors have heard of Facebook. Less have heard of Google+. Unfortunately, doctors treat these sites like everyone else, a place to post all your personal happenings. The problem is most patients aren’t interested in the fact you just “checked in” at the local burger barn. Sure, some personal interaction is necessary to maintain a following. But, you also need good copywriting and intentional posts to cause new patients to act and pick up the phone to call. Another important and often overlooked aspect of these sites is that they help with your search engine rankings. Having Facebook likes and Google+’s on your website will help it come up higher in Google Search, which will translate into more new patients. Just remember, Facebook and Google+ are effective tools, but they are not the only game in town. So, don’t spend 100% of your time and money fiddling with them.

5. Developing a mobile site will become a necessity.

As my friend Terry Dean recently pointed to, more and more people are using iphones to access websites like Facebook. Look at the stats from the link below, which state that “more than 350 million active users currently access Facebook through their mobile devices “:

https://www.facebook.com/press/info.php?statistics

Also, realize that one of the most common uses for a smart phone is to check email. That means every time you send an email with a link back to your website that person is going to your website on their phone. Even though I prefer to use the internet on my PC, I have an iPhone and iPad that I use often and realize it is just more convenient to click a link now rather than wait until later when I can access the website on my home desktop.

I’ll be working hard to implement these changes in 2012. I recommend you do the same. Also, I’ll keep you updated on any new tools and strategies I’m working on next year. Happy New Year’s.