Healthcare Marketing and the Coming Top-Level Domain Landgrab

What’s a gTLD?

gTLDs (often referred to as just “top-level domains” or “TLDs”) are generic Top-Level Domains. If that doesn’t ring a bell, think of them this way: you probably currently know them as the familiar three-letter extensions to domains you use all the time. For example: “com” is a top-level domain in www.geonetric.com. You already know many of the others: .edu, .org, .net, .gov, .mil. Perhaps you’ve even dabbled in .co, .tv, .mobi, .info, .me or some of the others floating around the Web.

Well, there’s a host of new ones coming that you need to be aware of…

New top-level domains for healthcare marketers, hospitals, practices, and systems

The list of new TLDs being introduced in the coming days, weeks and months is quite large. Certainly you should familiarize yourself with the scope of what’s on the way, as there may be interesting business opportunities for you in a changing and disrupted landscape. To help get you started, I’ve compiled a list of interesting new TLD applications that, if approved, will be relevant for hospitals, practices and healthcare systems:

.care

I imagine this will be a popular one, especially amongst brands and hospitals that have “care” in their name (especially at the end).

.clinic

Does your organization have branded clinics? There may be opportunities here. Also, don’t be afraid to think about non-branded opportunities. What would owning something like www.weightloss.clinic mean for your organization?

.dental

This will undoubtedly be a popular choice for dentists and dental practices.

.dentist

Again, I expect there are opportunities here for dentists and practices. Perhaps there are even opportunities to use personal names:

  • www.bobsmith.dentist
  • www.drsmith.dentist

.diet

Does your healthcare organization offer a branded diet? Do your market your nutritionists and dietitians? This may be a smart choice for a number of reasons. Is your organization a center of excellence for diabetes care? What about heart health? If so, would it make sense to try to obtain these:

  • www.diabetes.diet
  • www.cardiac.diet

.docs

If docs is regional shorthand for “doctors” in your geography, perhaps it would make sense to list your providers here. If you’re in a competitive locale, perhaps owning the [cityname].docs domain would be a natural way to get a leg up?

.doctor

This is a lot like .dentist, in my opinion. While there may be opportunities for the healthcare organization (www.heart.doctor anyone?), it seems like there is also ample opportunity for promoting individual physicians, or for claiming region or specialties:

  • www.dolittle.doctor
  • www.johnsmith.doctor
  • www.heart.doctor
  • www.boston.doctor

.health

If your brand name ends in “health”, this is likely the one for you. Also, if you have centers of excellence or clinics around specific conditions, you might find opportunities. As always, opportunities abound if you’re in a competitive geography:

  • www.diabetes.health
  • www.heart.heath
  • www.boston-heart.health
  • boston.heart.health

.healthcare

Again, if “healthcare” is part of your brand or organization’s name, it will probably make sense to claim some space in this TLD. Also look for location-based and condition-based opportunities:

  • www.boston.healthcare
  • www.diabetes.healthcare

.hiv

It will be interesting to see how this domain plays out. Probably a great opportunity for patient education with www.information.hiv. I expect www.treatment.hiv will go quickly too.

.hospital

If there’s a new TLD that everyone is going to want a piece of, this is probably going to be it. Watch out for competition amongst similarly-named hospitals in different geographies. For specialty hospitals, this might be a win. Also, look for opportunities to own the hospital brand for a given location:

  • www.boston.hospital
  • www.cardiac.hospital

.med

I’m interested to see how healthcare marketers use this one. There are certainly opportunities, but I wonder if it will effectively compete with the other new TLDs.

.medical

If I were forced to pick between this or .med, I’d likely go for .medical. I can see the appeal for healthcare, hospital and health system brands to stake out a space on this TLD as well.

.pharmacy

Pharmacies are often overlooked marketing opportunities, and organizations interested in promoting their pharmacies might be interested in this TLD. Also, brands interested in vying for dominance in specific locations might utilize this:

  • www.boston.pharmacy

.physio

Have established physiotherapy clinics? If so, this is an obvious choice. Perhaps even your organization’s sports health clinics can find a home in this TLD.

.rehab

A clear win for any healthcare organization offering all manner of rehabilitation services.

.support

Does your organization sponsor or host support groups in your community? This could be a perfect fit.

.surgery

If “surgery” is in your brand, this might be a clear fit. Other opportunities include weight loss, reconstructive, cardiac and other surgical specialties. Consider this: Would any of the following be assets to your brand?

  • www.weightloss.surgery
  • www.cardiac.surgery
  • www.bariatric.surgery
  • www.cosmetic.surgery

.insurance

Does your brand have a page dedicated to the various insurance programs you participate in? If so, this might be a great way to connect patients and prospects with the information they need.

And then there are some corner cases you could have some fun with:

.careers

Chances are your employment pages are among the most popular on your site…and there may be opportunities for you if this becomes the ubiquitous TLD for people to find employment information for organizations.

.claims

Perhaps your organization has online bill pay? Would it make sense to host it here, or redirect from here?

.delivery

There’s got to be an opportunity here for mommies-to-be who are deciding where to have their babies…

.events

Your health, education and conferences can easily be promoted here.

.insure

Is your organization involved in educating the community about the new insurance options available to people under new state and federal legislation? If so, perhaps a branded .insure domain is an opportunity for you.

.life

Brands with strong wellness initiatives may choose to claim some space under the .life TLD. Of course, brands with “life” in their names will want to look carefully at this as well.

.partners

A perfect opportunity for practices and organizations with “partners” in the name.

How soon do I need to act?

You need to consider your strategy. Today.

Remember that while registering your hospital brand on upcoming TLDs is likely an unwelcome expense and distraction, it’s often far cheaper than litigating for it later. So be smart and start the discussion now…not just with your marketing group, but with the CIO of your organization and your executive leadership. If you already retain legal counsel to advise you on brand protection, query them to see if they are up to speed and can advise you on the new TLDs and what you need to do to prepare. You may discover that others in your organization have already started the ball rolling…or that you have allies nearby that can help you chart a course through this.

You still have time… As of today, none of the top-level domains listed above have registry agreements behind them, but they are coming in the coming days, weeks and months. It’s important to identify your strategy as quickly as possible so that when TLDs are announced, you can move on the ones you are interested in.

How do I stay informed when TLDs become available?

There are no shortage of existing domain name registrars who will be competing for the business of public domain name registrations. But if you already know that you’ll be making acquisitions for your trademarked brand identities, you will need to keep track of things before they are open for public consumption.

The best resource I’ve found is ICANN’s Registry Agreements list. Every TLD domain ICANN awards to a registrar is listed here. So you’ll want to keep your eye on it for domains for your brand.

Once ICANN enters into an agreement with a registrar, the registrar needs to open what’s called a “sunrise” window. This is a 30-day slot for trademark holders to register their brand domains under the new TLDs. Once this window closes, it’s open season…and anyone can purchase any domain name (for the most part).

Be aware that in order to use the sunrise window, you’ll have to register your trademarked name in the Trademark Clearinghouse (TMCH).

Of course, if you have the desire to move on a non-trademarked domain, you’ll have to wait until the sunrise period ends and the public can start purchasing domains. If you’ve been seeing a lot of noise from your normal domain registrars, understand that chances are they are offering to sell you domain names once the sunset period has expired and the public can start. If you want to give them business at this stage through their various pre-registration programs, please take the time to understand what they are actually selling you.

Is doing nothing an option for us?

It is likely that you’ll need to include multiple groups in your organization in this conversation. Right off the bat, I’d suggest checking with your CIO and determining if they already have a strategy defined for acquiring new domain names for the organization.

You may decide that this is not something you need to or want to target, but if you’re a regional brand with a common name and you want to own that for the .hospital or .healthcare domain, you need to be ready to act.

It’s also important to note that just as with our current crop of domains, registering your brand on the new TLDs…while an unwelcome budget impingement, is likely far cheaper than litigating.

What do healthcare trademark owners need to know?

The “sunrise” period began October 23, 2013 for some domains. This 30-day window is set aside for trademark owners to register their second level domains on the new TLDs. This means, if you own the trademark to “Benefit Health,” you can register it under the new TLDs. This would guarantee you, for example, registration of www.benefithealth.hospital.

Be aware that in order for you to participate in sunrise registration, you must have your trademark registered in the Trademark Clearinghouse (TMCH): “The Trademark Clearinghouse (TMCH) is the most important rights protection mechanism built into ICANN’s new TLD program. It allows brand owners to submit their trademark data into one centralized database, prior to and during the launch of new TLDs. Simply put: The TMCH is a one-stop-solution for protecting your brand in the new TLD era” (source).

You’ll need to read and understand how the Trademark Clearinghouse will help you protect your brand, but in short, it functions as a central repository for brand claims, provides you with the opportunity to participate in sunrise registrations, and can notify you when your brand is registered on any new TLD. See the Trademark Clearinghouse website for more information.

How much will the new TLDs cost?

Right now that’s anyone’s guess. The price for registering domains under the new TLDs will be determined by the registrars to which they are awarded. They could be in line with current rates, or they could be much higher. Time will tell…

Can we buy our own branded TLD?

Applications for TLDs are currently closed, and I’m unaware of any hospitals or health systems who applied in the first round. If you browse the list, you will notice that there are many insurance organizations and pharmaceutical companies represented. I may have missed a hospital or healthcare system in the noise.

When applications open up again, there’s nothing stopping you from applying. But be prepared to shell out some major budget (in the hundreds of thousands of dollars), and be ready to prove that your organization has the wherewithal to operate as a domain registrar. In most cases, this is not currently an option.

Still, if this is something you believe your organization would be interested in, Section 2 of ICANN’s FAQwill be a good place to get started. You’ll also want to check out this guide. While dated, it does a good job laying out the hurdles you’ll face.

Updates

Since originally published, ICANN has delegated a number of the healthcare-related top-level domains mentioned above. If you’d like to stay up to date, see ICANN’s list of delegated top-level domains.

Using Google Authorship with VitalSite CMS

Google Authorship provides a unique way for your healthcare organization to differentiate its brand in Google search engine results pages (SERPs) with visual attributes that encourage readers to click and explore.

Whether it’s a blog, press releases, news stories or health library content, Google Authorship can showcase links to your properties in the increasingly competitive scramble to the top of Google’s search engine results pages.

To see how easy it is to implement Google Authorship in VitalSite, we’ve put together a short video that walks through the process from start to finish, all in just a few minutes!

If you have questions about what Google Authorship is, why you should consider implementing it, and how to get started, consult the Geonetric Google Authorship FAQ or contact your client advisors.

VitalSite 6.7 is Here!

Last week our engineering team released VitalSite 6.7. It contains a slew of new features, fixes and enhancements focused on helping consumers find your site and the content within it. This release includes enhancement to site search, schema.org support, and a range of tools for webmasters.

Site Search Enhancements and Schema.org Support

image of search page with site search enhancements
Your content is important to your bottom line, as ultimately it’s what converts (or fails to convert) a site visitor to revenue on your balance sheet. The numbers are quite staggering: Provider Detail pages accounted for about 6.25 million views on our client sites last year. That’s over 17,000 views of providers each day across healthcare organizations! And some of these views convert directly to appointments with your physicians, visits to your facilities, and inquiries about your services.

With numbers like these, we want to make it as easy as possible for site visitors to find your doctors, locations, and services. One way to do this is to ensure your content is optimized for search engines and is structured using schema.org semantic markup.

VitalSite has a long history of supporting SEO best practices, and with this release, we begin supporting schema.org semantic markup in your provider directory. While search engine optimization aims to improve the rankings of your content in search engine result pages (SERPS), the goal of semantic markup is to help search engines (and other services) better understand your content so that they can provide more accurate results and incorporate your content into new apps, like Knowledge Graph.

Better rankings in external search engines. More accurate results in search engines. These are both important, but we also know from site analytics that external search is frequently just the beginning of the visitor’s journey. Visitors continue refining their search once they arrive at your site. This means your site’s internal search engine has to perform as well as – or better – than the third-party search engines site visitors are familiar with.

For this reason, we’ve made significant improvements to your website’s internal search for providers, locations, and services. First, we’ve enhanced the advanced search algorithms used to determine which content is displayed in VitalSite search results. Second, we’ve built in sophisticated mechanisms to help shape and customize the search experience based on your organization’s unique needs.

VitalSite Webmaster Tools

Image of VitalSite Webmaster Tools

In addition to search enhancements and schema.org support, VitalSite 6.7 has a lot that hospital webmasters will love. It includes more ways to shape the SEO strategy of your websites, and even tools that can help split test your content to optimize performance. In support of these objectives, this release includes:

  • Robots.txt Editing – From time to time, webmasters need to tweak their robots.txt files to support custom directives that help determine how search engines index their sites. With VitalSite 6.7 this is easier than ever. Now you can edit the robots.txt file for your site from within the VitalSite administration interface.
  • Noindex Robots Metatags – In addition to robots.txt, the noindex robots metatag is essential for telling search engines not to index your content. With this release of VitalSite, you can add this metatag on a page-by-page basis.
  • Sitemap.xml Inclusion/Exclusion Control – Your site’s sitemap.xml files are an important way of promoting your content to search engines. With VitalSite 6.7, you have fine-grain control over which pages do and do not show up in this file.
  • Custom HTML on Pages – Whether you’re optimizing content with split tests or using special analytics services to understand how site visitors interact with your pages, many advanced tools require webmasters to add special code to the HTML source of their pages. A new feature in VitalSite 6.7 allows you to add custom HTML to the head section and bottom of pages, all from within the VitalSite administration interface.

Release Schedule

Excited about trying out VitalSite 6.7? Geonetric clients will be hearing from their client advisors soon regarding the deployment schedule. If you’re not yet a client but would like to learn more about how VitalSite can help your organization lead in your market, contact a Geonetric consultant to schedule a demo.

Schema.org, Structured Content, and VitalSite

The recent announcement from Google underscores the growing importance of structured content on the web. This is not a new trend, but it’s one that has definitely been gaining more and more momentum recently. I expect this to continue to increase, which is why I’m excited to talk a little about how our upcoming VitalSite 6.7 release will begin supporting schema.org microdata.

Based on the enhancement requests I’ve seen since schema.org was launched by Google, Yahoo! and Bing, I know that a fair number of clients will be excited by this support. If it’s a new concept for you, hang in there: I’m about to give a quick overview describing what it is and why you should care. At the end, I’ll also share some helpful links.

One of the biggest problems faced by search engines today is their inability to understand the content on your web pages. If you stop and think about it for a moment, it’s easy to see why. Take this sample Provider Details page as an example:

Sample of a provider details page.

When you or I look at this, we immediately understand the content. We recognize that the big picture of the person is an image of the doctor, and that the images used as design elements on the page are not pictures of the doctor. This ability to understand the semantic meaning of content – something we often take for granted – turns out to be incredibly difficult for machines (including Search Engines) to do.

While we understand that the text across the top of the page is the doctor’s name, Google might not. We know that the phone numbers at the bottom are associated with the doctor, but Bing has to guess that relationship.

Making search engines guess is bad for business.

Think about what happens if Google makes a bad guess about what the phone number is for your hospital, or for a clinic in it. What happens when Bing gets the location of your emergency room wrong?

Content structured with schema.org markup helps address this.

It also opens the door to better information returned in rich snippets, and the ability to showcase your information in new applications and services (like Knowledge Graph) that are being built into search engines and the context-aware devices of tomorrow. At the end of the day, well-structured data makes your content more useful to everyone. Today, and tomorrow. On your website, and off your pages.

Schema.org is a joint standard defined by Google, Bing and Yahoo! (and later, endorsed by others) that helps ensure search engines don’t have to guess what your content is. It uses special markup in the page’s HTML to explicitly define your content in ways that ensure search engines understand which image of the 15 used on a page is the photograph of the doctor.

VitalSite begins supporting schema.org by implementing it on two types of pages: provider details pages, and provider search results pages. We use a subset of the schema.org Person object, and do it in core so that you don’t have to muck about in HTML to get it all to work. It’s just there, on all your providers, starting with VitalSite 6.7.

Resources for Curious Webmasters

If you’re interested in learning more about schema.org microdata formats, we’ll be communicating more specifics about how we’ve implemented it as we approach release. Geontric clients, you can keep your eye on GeoCentral for details.

If the world of structured content, the semantic web, and schema.org microformats is new to you, here are some resources to get you started: