Many healthcare marketers have now created Facebook pages but are seeing varying degrees of success.  And it’s perplexing.  Ad Age  published an article written by Paul Dunnay that listed 10 reasons why your Facebook strategy could be failing.  He makes some excellent points, all of which are worth sharing.  Perhaps the suggestions can help us have more successful Facebook pages.  The article is republished here in its entirety.

So, you’re one of the seemingly millions of brands out there using Facebook to lure people over to your website. Chances are you’ve viewed recent reports about Facebook’s surprisingly low activity rates (“Only 1% of people who like a Facebook page ever go back to that page”) as vindication of what you’ve always suspected: marketing on Facebook just doesn’t work.

You’re not alone. The following are the 10 top reasons brands fail to tap into the real potential of Facebook. (Hint: zero of them are Facebook’s fault.)

1. You made a bad first impression.

Most fans won’t ever come back to a brand’s page unless they feel they have good reason to. This is not totally different from how they interact with their friends’ pages when you think about it. Unless the new friend has great content to go back to, there’s not much of a reason to go directly to their page very often, if at all.

2. Your copy and visuals are boring.

A successful Facebook page must have concise, engaging text that’s relevant to both the brand and the fans’ interests. Overly long, humdrum copy will fail to capture fans’ attention. Crisp, eye-catching, high-resolution visuals (photos, videos, illustrations) that clearly speak to those things visitors like about the brand in the first place will draw them in for more.

3. Your content is stale.

If fans stop by more than once only to find the same old Facebook page, they might assume the page is outdated — or worse, abandoned. It’s important for marketers to give fans new ways to connect and advance their relationship with the brand or product being promoted. Keep to a consistent schedule with fresh content and ever-improving offers, and be sure to test what works with your audience.

4. Inconsistent or lazy branding.

If there’s no stylistic connection between a company’s Facebook page and its main website, visitors may not trust that the page is legit. Brands often spend a disproportionate amount of time, money and effort on website branding efforts, in comparison to the relative pittance reserved for complementary Facebook efforts. Keep branding consistent across all channels, so that visitors know exactly where they’re going and whom they’re dealing with.

5. Confusing calls to action.

Once fans arrive at a brand’s Facebook page, they should have a clear idea of what to do and what’s available to them. Offers and calls-to-action should be prominently displayed, and any associated instructions should be easy to follow. Be aware, however, that Facebook has guidelines concerning calls-to-actions, offers and anything else resembling blatant advertising on company pages, so it’s important to make sure you’re current on usage guidelines.

6. Too many clicks.

People are impatient—and want immediate gratification—especially on Facebook. If you have to use forms to give visitors access to the content they want, they’re likely to click away. Make sure the desired destination can be reached in the fewest amount of clicks possible. Also, if you have to use a form to capture data, keep it short and simple.

7. You’re treating all your fans the same way.

All fans are not alike – so why treat them all the same? With the right tools, marketers can compile profiles using Facebook data authorized by the user (age, gender, location, name, relationship status, etc.) as well as previous site behaviors, to get a better sense of the type of people they’re reaching on Facebook. Those profiles can then be used to present offers, content and/or experiences that are the most effective in attracting fans, “Likes”, website traffic or any other relevant conversion metrics.

8. You’re playing it too safe.

As excited as marketers may get about shiny new objects—especially social media objects—they’re often reluctant to spend the time and money to truly develop new efforts for them. Why not step out of your comfort zone and try to develop specific content based on customer segments? An even crazier idea—consider developing Facebook-specific campaigns rather than repurposing ones created with a different platform in mind.

9. Ineffective plugin use.

If Facebook plugins aren’t integrated into the main company website, a great deal of potential traffic—and revenue—is being lost. Plugin tools turn consumers into brand advocates, making it easy to share site information with Facebook friends. Let visitors like or share website pages back to their Facebook profile with one click. Better yet, provide personalized suggestions to your website visitors, based on what other people are sharing as well as their own click behavior.

10. You’re getting the metrics wrong.

Getting just one side of the story isn’t enough. Marketing programs need to be set up so that Facebook stats and user profiles are fully integrated with all other online and offline e-commerce channels’ information to create rich, detailed and fully comprehensive user profiles. Profile reports should be updated on a regular basis, so the most recent user information is always available.

With the proper attention to detail and willingness to dedicate the same energy to Facebook efforts as they do to other initiatives, online marketers will no doubt find that their 1% conversion rate is something they can control—and that it’s not Facebook’s fault their customers aren’t more engaged.

ABOUT THE AUTHOR

Paul Dunay is vice president of marketing at Maxymiser.

There are two ways to reach consumers on social media- paid media and earned media. Organic (earned) media is extremely valuable for any brand.  It s a way to engage consumers, enhance brand perception and build loyalty.  But a new study from Facebook and comScore indicates that paid advertising on Facebook can dramatically increase your reach. Among the top 100 brand pages on Facebook, those using paid advertising reach an audience that is 5.3 times larger on average, the study found.

As reported by Matt Kapko for ClickZ, comScore looked at how major brands used paid media to extend their audience five times over their organic audience in one week. Some brands were able to extend the reach of a single post or other piece of content by more than 100 times with paid media, according to comScore.

Paid advertising on Facebook can be used by healthcare marketers to cast a much wider net and reach a much larger audience.  Facebook ads, or paid media, will reach “slightly lighter” Facebook users than organic content, comScore concluded. Paid messages were 30 to 60 percent more likely to reach users that have liked 100 or fewer pages. Similarly, paid messages were 17 to 32 percent more likely to reach users who hadn’t posted a status update in the past 28 days, the study confirmed.

With media planning, whether its TV or print or Facebook, traditional or non-traditional advertising it’s always desirable to reach those lightweight users. You’re reaching more lightweight users when you’re paying because you’re ensuring you get in front of those users.

Ad campaigns that are focused on reach, reaching a larger number of people, are usually more desirable.  And the study from comScore indicates that paid advertising on Facebook can significantly expand our reach.

Many healthcare marketers have spent hours trying to decide the value of social media and whether it’s worth the time and effort.   And that is still being debated.  However Facebook advertising can be an excellent way to reach users of social media.  Even the light users of social media. 

A word of caution is needed.   Using Facebook advertising effectively requires significant thought and work as well.  You are very limited in what you can say in a Facebook ad.  It’s very much about like outdoor.  Words are limited.  The message must draw attention and communicate something meaningful.  And if the Facebook ad is successful piquing interest there must be more information provided by a landing page or micro site that can provide more information and close the deal.

Healthcare marketers work very hard to craft a message and effectively communicate to consumers.  And getting it right is an art.  We want to influence consumers and affect the choices they make.  But sometimes in our efforts we can do more harm than good.

Five deadly sins of marketing are outlined by Jonah Sachs, founder of Free Range Studios and author of Winning the Story Wars and summarized by Minda Zetlin  for Inc Magazine.  And each is appropriately accompanied with a story.  They would be worth noting by healthcare marketers.

1. Vanity

The ancient Greek story of Narcissus illustrates this sin, Sachs says. Narcissus, the handsomest hunter in the land became so entranced with his own reflection in a pool that he either remained immobilized there forever or fell in and drowned, depending on the version of the story.

For modern-day healthcare marketers there may be an even bigger risk: being ignored. “It’s hard to tell a story when you’re the main character and everything else is a background for your character’s greatness,” Sachs says. “You’re going to sound largely irrelevant to audiences who hear 3,500 marketing messages a day.” A better approach, he says, is to create a story where the customer (or someone just like him or her) is the hero.

2. Authority

In the story of the Emperor’s New Clothes, by Hans Christian Andersen, the emperor relies on the authority of his tailors who assure him he is clothed in cloth so fine only the wise can see it. Too embarrassed to admit that he sees nothing there, the emperor eventually finds himself nude in front of all his subjects.

The problem with relying on authority, whether subject matter experts or facts and statistics is two-fold, Sachs says. First, experts have been so flamboyantly wrong about so many things (remember the doctors who swore in the 1960s that smoking was safe?) that the public is instinctively mistrustful. Worse, by relying on facts you miss the chance to make a more heartfelt connection with customers. “If you can reach people on emotion and values, that’s a more powerful way of getting them marching toward you,” he says.

3. Insincerity

Remember the story of the wolf in sheep’s clothing, one of Aesop’s fables? A wolf that comes upon a sheepskin, puts it on, and hides within a flock. But the disguise works too well and the shepherd, mistaking the wolf for a sheep, slaughters him for his own dinner.

For modern healthcare marketers, the big risk of insincerity is getting found out or people knowing better. With the internet, Twitterverse, Blogosphere, and so much social media out there, it’s fairly difficult to fool anyone for long. And with so much data now available about hospitals and physicians from independent sources and patient reviews it’s very difficult trying to be something we aren’t. You want to reach out to a new audience but you must deliver on your promise.

4. Puffery

The down side of pretending to be bigger than you are is displayed in this unforgettable line from “The Wizard of Oz”: “Pay no attention to the man behind the curtain.”

“The idea is that we can speak in the disembodied voice of God and have people listen, rather than finding our unique and human voice,” Sachs says. “Finding that human voice is a step that healthcare marketers so often miss. Consumers particularly want to see the human beings behind the brand.

5. Gimmickry

Sachs illustrates this sin with the tale of King You of Zhou who repeatedly calls out his warriors on a false alarm to coax a laugh out of his hard-to-amuse trophy wife. You can guess the rest: The kingdom actually does come under attack so he lights the distress beacons but the warriors stay home, believing it to be another gag.

There’s nothing wrong with being clever, Sachs says, but trying too hard can backfire–which is why, he says, most Super Bowl ads aren’t very effective at selling their products. It’s great to try to be clever to connect with your audience.  But you can run the risk of undermining your message and your brand.

These are not the only mistakes marketers make but one that can be deadly for our brands.  Clear, concise, honest massages told in ways that connect to our audiences are always the best approach.

Minda Zetlin is a business technology writer and speaker, co-author of The Geek Gap, and president of the American Society of Journalists and Authors

Examine your hospital’s mission statement.  How long is it?  How many words does it have?  Do you fully comprehend it?  Unfortunately too many hospital mission statements (like other organizations) are paragraphs that try to encompass everything the organization thinks has importance.  But is it something that truly defines your brand?  Is mission and brand the same?

Scott Regan, CEO of Achieveit in an article appearing in Becker’s Hospital Review  articulated this issue very well.   He is correct in stating that great mission statements are the brand.  Great mission statements are the basis for every decision, strategy and policy of the hospital.  They are embedded in the hospital’s vision, values, strategy and operations.  Great mission statements precisely define the brand.  Mission and brand…are both the same.

When the mission and brand are tightly woven together it creates a powerful organizational dynamic.  “Creating the kind of mission-brand integration that elevates organizations to market dominance requires short, succinct mission statements – eight words or less – that resonate with both internal and external stakeholders,” stated Regan.

And he provides two great examples.  One is Memorial Health in Savannah Georgia.  That hospital adopted a five-word mission statement: “We help people feel better.”  And the two word branding statement was simply, “feel better.”  Regan cites that twelve years later, Memorial Health has market dominance which includes four consecutive years on Fortune magazine’s list of “100 Best Companies To Work For.”

The other example is Liberty Health in Jersey City, N.J.  That organization adopted a three-word mission statement: “We enhance life”.  And a two word branding statement: “Enhancing life.”

In both of these cases, the mission statement is succinct and clear.  It goes to the essence of who the organization is and the statement easily defines the purpose of the organization.  The mission and the brand are exactly the same.  It leaves very little room for ambiguity about who the organization is and what it does.  It defines what you do every day.

It’s not easy to define your organization in eight words or less.  To do so, requires you to strip away all the stuff you think is organizationally important to concentrate on the core essence of the organization.  To do so means every employee can know and understand the mission and how their job contributes to that mission. It clearly defines, to those inside and out, who you are.  It allows employees to live the mission and live the brand.  And when that happens it translates to your external audiences knowing and experiencing your brand.

Is it brand or mission?  It’s the same!!!

Women dominate Facebook.  They are the ones constantly posting and engaging in social activity on Facebook.  So it makes sense to use the social network to reach women.  But although it makes sense, maybe we should wait a minute.

Against common thought, men cost less to reach on Facebook and respond better.  Noreen O’Leary reported in Adweek  that the surprising conclusion comes from an analysis of 65 billion Facebook ad impressions and 20 million ad clicks in a 12 month study conducted by Resolution Media.   While 58% of Facebook users are women, men see and click through more ads than women. 58% of men see Facebook ads compared to only 42% of women who notice them.  And men have a click volume of 60% compared to 40%b for women.

The study concluded that men are more focused on their activities when interacting on Facebook while women do more browsing, sharing and communicating.  And men have shorter attention spans on Facebook, which means they are more easily distracted and more likely to be persuaded by relevant advertising messages.  As a result, men click on Facebook ads at a higher rate than women.

So the cost-per-thousand impressions for men was 16 cents compared to 20 cents for women while cost per click for men was 51 cents compared to 68 cents for women.

Many healthcare marketers use Facebook advertising as a means to reach women.  And it can certainly be effective.  But this research shows we shouldn’t discount men on Facebook.  They are there, and although in lower numbers that are more likely to see our ads and even click on them.   So it’s true after all.  Women are right. Men are cheap!!!

Many hospitals are reluctant to become active in social media.  Some have no presence at all and others have very limited engagement.  Some are reluctant due to compliance issues and others are just afraid of the potential for negative comments.  Why provide a venue for negative comments is the argument? And the hesitations are understandable.

BUT, the lack of engagement in social media by a hospital doesn’t mean the conversations aren’t happening.  Our reluctance doesn’t stop the conversations.  And even more alarming, consumers are becoming more strident and sophisticated in their use of social media to express anger and dissatisfaction. 

Here are just a couple of examples.  A college student in Washington D.C. used a petition on Change.org to try to pressure Blue Cross Blue Shield of Massachusetts to reverse it’s denial of rehabilitation coverage for his father.  A mother launched a social media campaign against Children’s Hospital of Philadelphia after it denied a transplant to her child because, as the mother contended, her child was developmentally disabled.  Both organizations I’m sure based their decision upon existing standards, policies and practices.  But that didn’t stop the individuals from initiating a social media campaign and engaging many others in their effort to damage the brand’s reputation.  These individuals were acting emotionally out of anger and outrage, and maybe hopelessness.  Many consumers have found that traditional appeals do not get the results desired and so they turn to social media guerrilla tactics.  They hope they can create enough pressure to get their desired result and if not, they will damage the brand.

Now the big question for all hospital marketers: is there a campaign being conducted against your hospital right now, that you are not aware of?  Are disgruntled patients (rightly or wrongly) fanning the flame, attacking your brand and soliciting others to do the same?  If you ignore social media, don’t want to have anything to do with it, or take it lightly, it could be happening.

Every hospital should have means to monitor social network activity about their brand.  Every hospital should have a social media presence so that if negative things are being said the hospital can join the conversation and attempt to talk the offended party offline to address the issues.  And every hospital should be engaged in social networks to demonstrate the hospital’s concern and responsiveness to concerns and complaints.

Hospitals should engage authentically in social media networks and be part of the human discussion rather than being perceived as unengaged and detached.  Remember, there could be conversations going on right now about your brand that you need to be aware of.  And in which you should be participating. 

As marketers we are always looking for the “Big Idea”.  And by the “Big Idea” we are usually referring to the creative concept.  The creative that will interrupt an audience and profoundly establish our brand identity.  And we should never stop our pursuit of that very thing.  That “Just Do it” or “Got milk?” creative idea.

But sometimes that “Big Idea” could be about media and not creative.  Sometimes the media strategy can be just as important, or perhaps even more important.  Antony Young, CEO of Mindshare  writing for Ad Age Mediaworks listed several reasons why media is as important as creative in developing effective advertising.  A synopsis of some of his points is worthy of considering

1.    We’ve moved from a world of Mad Men to Math Men (and Women).

Advertising has become a math game.  Where can we get the most impressions?  The right impressions? What is most effective?  And most efficient?  How can we achieve a favorable ROI?  And prove it?  What is the “right” amount of advertising investment to maximize results without diminishing returns?  All of these questions are important.  And in today’s world of fractured media and financial pressure these questions become equally as important as the creative approach.

2.    Instead of the creative idea, it may be more about small, smartly placed relevant ideas. 

There are those brilliant creative ideas, like those introduced by Nike, Apple, Dove and others.  But quite honestly they are few and far between.  We can work all our lives and rarely, if ever, develop a concept that becomes iconic.    But maybe in today’s marketplace it’s can be just as effective to tactically use custom messages in different media at relevant times, locations and environments that creative engagement.  The ability to target a very narrowly defined audience with today’s media tools certainly makes this a viable approach.  Axe has used it very effectively over the past few years.

3.    Matching the message with the media.

It may prove helpful to determine how we are going to reach our desired audience before we decide the creative.  Because the medium(s) will determine the way we present our message.  We can have the best concept in the world but if it doesn’t fit the medium needed to reach our target audience it’s a waste.  And what will be effective in the appropriate and effective medium may not lean itself to “out of the box” creative.  It may just need to be solid effective communication.

4.    Content is king.  But which content?

There are so many platforms for communication.  And advertising effectiveness may require several types.  Long form video, sponsored programming, video pre-rolls, mobile apps, interactive creative are all options in addition to traditional media.   More and more brand decisions are being influenced by sources beyond advertising.  These options should be considered and then develop the creative necessary for each.

5.    Adaptive marketing.

There are now opportunities to use data collected from web behavior to develop an appropriate message and deliver it to the targeted audience in real time.

6.    Media is more than a venue for ads

There is huge media events…destination TV.  The Super Bowl, the Academy Awards, the Grammys, finals for American Idol and others.  There is so much more potential than just buying an ad during these highly rated programs.  Tablets and social media have made these events interactive and even bigger marketing opportunities.   Take advantage of social interaction surrounding these events to increase your advertising effectiveness.

Yes, as healthcare marketers, we are always in search of the “Big Idea”.  But it might not just be in the realm of creative.  It could be media-induced.  We would be wise to pursue these kinds of “Big Ideas” too.

Five steps to improve the effectiveness of your hospital’s newsletter.

Email newsletters are a common way to keep your hospital top-of-mind for potential patients, as well effectively reinforcing yourself as a credible healthcare authority within your market. Companies such as Constant Contact provide an affordable, valuable service to organizations that wish to develop a newsletter following and attract new patients. However, effective newsletter marketing is an art, and it requires continuous attention and effort to maintain a following.

Steve Klinghoffer of WPI Communications advises healthcare professionals to follow these six tips to ensure their email marketing programs are effective:

Know Your Brand
There should be consistency across all marketing materials. Make sure font and color schemes match. What you send out is a reflection of your hospital so always remember  to use the newsletter to reaffirm your brand.

Build a Quality Email List
Put the email “subscribe” button on your website and social media channels. People who visit these pages are more likely to be interested in receiving a newsletter. This can also ensure that the contacts on the list know what they’re are signing up for. You don’t ever want your emails to come across as spam. Ever. Ask patients to sign-up and keep the process short and sweet.

Develop Interesting, Relevant Content
It is no mystery that many emails go unopened or unread. But there is a remedy for this. Use high-quality content to engage your reader. For instance, your hospital could consider email newsletter content on the impact of sugary drinks on a child’s health. It’s a relatable topic and can apply to many different readers. Just remember: The goal is to educate, not sell. If done correctly, the newsletter can provide valuable and helpful content and build loyalty.

Write a Good Subject Line
The subject line is the bait. It is the first thing a reader sees so it should be concise and targeted. Consider something like “Can french fries cause health problems?” versus “Hospital X  eNewsletter.”

Be Consistent
Find which email frequency works best for your hospital and stick to it. If you send out an email monthly then keep it monthly. Just make sure your efforts are consistent.  If your content is compelling enough, your readers will anticipate your email.  Until you get there, find which email frequency works best for you. Steve Klinghoffer, President of WPI Communications, suggests monthly emails for patient audiences and quarterly for health care providers.

Measure Your ROI
The money put toward an email campaign should generate a return. There are important metrics that can be measured to gain insight on the success of your email campaigns. Most email marketing providers track who opened the email, clicked links and did email forwards. Keep a record of that information because the metrics can help shape content for the future.

A couple of new patients could cover the costs of a newsletter for a full year. Maximize your results with good content, design and distribution.

This blog was provided by Brittany Richards who is an editorial coordinator at Software Advice <http://www.softwareadvice.com/> where she handles the Profitable Practice blog.

Healthcare advertising has always been the target of criticism.  In the past few months there has been a new wave of criticism.  As healthcare reform is being discussed and debated there are some who claim reform should include a ban on advertising.  We strongly disagree!

Recently in HealthLeaders Media,  Marianne Aiello offered a defense of hospital advertising.  Although her arguments are not exhaustive, she makes a strong case in favor of hospital advertising and outlines the central principles and beliefs that support her defense. The majority of her article is reprinted here

Hospital advertising has long been an easy target, from both internal and external critics. It seems that whenever it’s time for a healthcare organization to tighten its belt, the marketing team and its budget takes the biggest hit.

And yet, the media and general public decry the fact that a hospital needs to promote itself at all.

It’s funny—for being professionals geared around boosting their organizations’ brands, hospital marketers are hard pressed to enhance their own reputations.

Every once in a while—this month, for example—a slew of media criticisms are published in short succession, reporting on the thousands or millions of dollars hospitals spend on advertising while failing to mention the percentage of the total organizational budget that it accounts for.

Normally, we grin and bear it and move on. Not this time.

The St. Louis Post-Dispatch recently published an article dissecting its competitive healthcare market. While the reporting is balanced, it starts with a markedly negative tone by quoting Sidney Wolfe, director of the non-profit consumer advocacy group, Public Citizen.

“Hospitals seem to be spending money left and right trying to get more patients,” he said. “Absent significant costs controls, there’s nothing to stop them. It’s siphoning money away from healthcare. Advertising shouldn’t be confused with taking care of patients or improving patient care.”

I think we can all agree that his last sentence isn’t worth addressing. But in this column I will explain why, in the vast majority of hospitals, advertising and marketing spending is necessary, effective, and does not take away from quality of care.

Ads as patient education

I’ve spoken to hundreds of hospital marketers over the years. Ask any one of them the most important aspect of their marketing strategy, and each one will point to patient education.

Without targeted advertising, a patient may not know he or she can receive cancer treatment closer to home, or that his or her community medical center is holding a lecture series on diabetes management, or that his or her primary care provider now uses an online patient portal.

Marketing and advertising is “core to our mission to educate the public,” Missouri Hospital Association spokesman David Dillon told the Post-Dispatch. And I think you’ll find that most hospitals and health systems include patient education in their organization’s mission as well. It’s difficult to care for the community if they don’t know who you are, what you stand for, and the services you provide.

St. Louis University Hospital spokesperson Laura Keller told the paper that hospitals advertise for noble reasons as well as realistic ones.

“I don’t think it ever hurts to remind someone that there are lots of choices that you have if you’re dealing with a major health issue,” she says. ”We need to educate the patient, and there are good messages there. On the business side, people need to understand that without money we cannot support our mission.”

The business case

The hospital advertising critics always seem to forget about the business side. Aside from staying true to their mission, hospitals need to advertise to maintain or enhance revenue flow. Even non-profit hospitals need to market to insured patients and promote high-grossing service lines so that they are able to continue to care for the uninsured.

And while some larger health systems spend what seems like large amounts of money on advertising, on average, the hospital marketing budget accounts for a tiny portion of the overall organizational budget.

“While we do spend money on marketing and advertising, far less than a penny of every dollar of our expenses goes to that and we try to be prudent in those expenses,” Bob Porter, chief strategy officer for the non-profit SSM Healthcare-St. Louis said. “For us, healthcare is a social good, not a commodity.”

Those digital ad exchanges appear to be a great deal.  You provide the information concerning whom you want to reach and they’ll take your digital ad and place it across a wide range of websites that will deliver the audience you are seeking.  You provide the ad and they do all the work.

But now research is indicating that your ads are not appearing where you might think or even want your ads to appear.  Comscore  conducted research to see where digital ads are actually appearing and the results were alarming.  The research was conducted on behalf of twelve major brands including Ford and Kellogg.  The results reported by Jeff Roberts in paidcontent.org indicated as much as 31% of the 1.8 billion ad impressions purchased by these companies were not seen at all.  The ads were shown to non-humans – bots or spiders that induce a web page to display an ad.

In addition, 72% of all their ad campaigns resulted in brands having their ads placed next to questionable content.  Sites dedicated to pornography, piracy or malware.

This is not to say all digital ad exchanges are bad.  It’s just to point out there are risks involved in placing digital ads across multiple sites with ad exchanges.  Unlike radio, TV or print advertising, with digital advertising it’s hard to know exactly where your online ad appears.

For healthcare marketers, it’s safer to stay with purchasing ads on high-traffic local sites, like the local newspaper or television websites.   But even these local media companies are now partnering with ad exchanges to offer behavior-based buys across a wide range of websites.  So we must be careful and understand as much as possible about where our ads will actually appear.

It’s all part of the development and evolution of digital advertising.  There’s a lot of big numbers thrown out, even by reputable local digital sites.  But sometimes it’s difficult to have great confidence in some of those numbers and in the way they are presented by ad reps.   As the digital advertising industry develops, hopefully more precise and reliable results will be provided which will increase our level of confidence in online advertising.  In the meantime, we must be as careful, and as thoughtful as possible, in evaluating digital advertising options to make sure our ads are actually being seen by human beings and within a context that’s appropriate and suitable for our healthcare messages.