Admissions strategy and measurement

Know what brings people in, and where the process breaks.

Before you increase marketing spend, understand which inquiries fit your care, what happens after the first call, and which sources lead to admissions.

We research your market, prepare a focused launch plan, and connect inquiry sources to admissions where your records support it. You get a clearer basis for deciding what to fix, what to test, and where to spend next.

Research and preparation are available separately. Campaign management, media spend and ongoing support are scoped before launch.

One channel, one month of inquiriesSample

Unknown stays unknown. Inquiries with no recorded source are counted and shown, never assigned to a channel. The latest month is provisional: later admissions update it.

Fig. 1 Invented numbers, shaped like a real month. No patient data.
01Where to start

Start with the decision, not the campaign.

A new center needs a launch plan. An established center needs to know why its current spending is or is not producing appropriate admissions.

A new center

Plan before the first campaign

We establish the offer, the local search opportunity, the inquiry path, reporting and launch requirements before anything runs.

An existing center

Measure what you can trust

We examine the available spending and admissions records, identify missing information, and begin with the part of the journey that can be measured reliably.

02Preparation

What preparation includes.

A market research brief
Relevant searches, visible advertiser activity, competing landing pages, and the questions families need answered. Historical keyword figures help plan a test; they do not establish what your clicks will cost. An advertiser appearing in a public ad library does not prove that its campaigns work.
A focused campaign plan
Proposed services, geography, keyword groups, exclusions, draft ads, a landing-page outline and budget scenarios for your finance team to set. Brand searches are reported separately. Specific local searches and broader searches get distinct test budgets.
An inquiry and reporting plan
Agree what counts as a qualified inquiry, where the source is recorded, how repeat contacts are handled, and how inquiries connect to admissions. Missing sources and outcomes stay visible.
Launch readiness
Coordinate the advertising certification, account ownership, admissions routing and specialist review. Your team confirms services, insurance facts, capacity and staffed response hours.
A referral handoff
Where included, a program summary and contact materials help clinicians and discharge planners understand how to refer. Your team owns the professional relationships, and no one is ever paid per referral.

You receive a documented plan you can use with your existing team or a separately engaged paid-search specialist. Preparation does not automatically include campaign construction, production landing pages or ongoing management.

What one market scan coveredObserved
25local providers checked
25 + 16domains and brand names looked up in Google's and Meta's public ad libraries
15live searches, on desktop and mobile, from the local area
46keywords pulled; 30 returned no figures and are treated as unknown, not zero
14competing websites scored on the same rubric: calling, insurance, credentials, content, tracking
4labels on every claim: observed, estimate, hypothesis or unknown
Fig. 2 Research for a new center at a five-center network, September 2026. Public ad visibility is not competitor spend or results.
03A first test

How a first paid-search test is set up.

Our starting rules for a pilot. Each center's plan adjusts them to its services, market and budget.

Pilot structureIllustrative
Fig. 3 Brand searches never take credit for other channels.

The rules around it

  • Exclusions from day one.JobsNon-medical "detox" productsDrug testingServices you do not offerPayers you do not acceptFree and researchReferral partners' names
  • People who are actually in the area. Geography expands on qualified inquiries and admissions, not on distance alone.
  • Ads only when admissions answers live. Campaigns run during the hours calls are answered by a person.
  • Search only during a pilot. No display, no automated campaign types, auto-applied recommendations off. Exact and phrase match at launch.
  • Every ad claim on an approved fact sheet. No fear, guarantees, "free" or superlatives.
  • No audiences built from patient data. Nothing about a patient or family goes to an ad platform.
Certification

Google requires addiction treatment advertisers to be certified before ads can run, in the US through LegitScript. We prepare the application with your documents and set up the ad account in your name. The certification decision and its fees belong to the certifier and to you.

04The journey

Follow the inquiry far enough to learn something.

  1. SourceRecorded at the first call, as a field, not a guess.
  2. InquiryA person reached out, by call or form.
  3. QualifiedA genuine request that fits the service criteria you agreed.
  4. AssessmentThe clinical or admissions assessment happened.
  5. AdmissionThe person started care.

A qualified inquiry is not an admission. We show which steps your data supports. Where suitable financial records exist, reporting can extend to collections, matched inside your own systems. Which plans those collections come from is a separate question: payer mix, by days and by dollars.

Different breaks, different owners.

An unanswered call, a service mismatch and an unavailable bed are different problems, with different people responsible for the next action. Unresolved outcomes are kept apart from confirmed reasons someone did not admit, and a blank reason is shown as not recorded.

Why qualified inquiries did not admitSample
Operations can fixFit or the person's choiceMissing data
Fig. 4 Invented counts. The categories are the ones the measurement engine uses.
05The report

One channel. Three useful questions.

Are appropriate inquiries reaching us?

Compare spending with qualified inquiries, including how qualification was defined.

Are we responding and following through?

Review answer and follow-up information where approved records support it.

Can we afford the admissions it produces?

Compare acquisition costs with the ceiling your finance team sets from the economics of delivering care.

Channel report, one monthSample
SourceSpendQualifiedAdmissionsMedia cost per admissionNext action
Google, non-brand$27,000519$3,000Review search terms weekly
Google, brand$2,100286$350Reported apart; takes no credit for other channels
Paid social$6,00060Too fewNone: $6,000, 0 admittedReview targeting and fit before more spend
Referral partnersn/a187n/aRelationships owned by your team
Source not recordedn/a52n/aFix source capture at the first call
Fig. 5 Invented numbers. Admissions are credited to the month the inquiry came in. A paid channel with fewer than five admissions is marked too few to judge, and zero admissions is reported as spend with no admissions, never as a $0 cost.
06Three costs

Three costs, clearly defined.

Always reported apart, never blended into one flattering number.

Channel

Media cost per admission

channel media spend ÷ attributed admissions
Channel, with fees

Media plus management

(channel media spend + its management fee) ÷ attributed admissions
Whole growth budget

Blended growth cost

agreed growth costs ÷ all admissions in the defined scope

Referrals and word of mouth cost little, so a blended figure can hide one paid channel losing money. The full guide: cost per admission without sending patient data to ad platforms.

Try the arithmeticIllustrative
Media cost per admission$3,000
Media plus management, per admission$4,000

Nine admissions is enough to report, not enough to rank keywords or set a long-term cost.

Fig. 6 Runs in your browser; nothing is stored or sent. The default figures are an illustration, not a client result. Other costs are excluded unless explicitly included.

The attribution rule, period and conversion window are documented before comparisons are made. For inquiry-month reporting, later admissions update earlier months, so recent periods remain provisional.

Cost per admission says nothing about who pays for the care afterwards. That is payer mix, by days and by dollars: how to calculate payer mix.

07Limits

Set the limits before spending.

Agree the pilot budget, acceptable acquisition costs, evaluation window and loss limit. Name who checks the reports and who can pause or restart campaigns.

Review signals in the reportDefaults, configurable
SignalDefaultWhy it matters
Source not recordedAbove 15% of inquiriesThe channel figures stop meaning much
Live answer rateBelow 90%Spend is buying calls nobody picks up
Spend with no inquiriesAny paid channelTracking may be broken, or the targeting is wrong
Media plus management costAbove finance's ceilingThe admissions cost more than the center can afford
Fig. 7 Reports flag the condition; an authorized person decides what happens next. Unavailable capacity and broken tracking are reviewed the same way.

A few admissions can be useful operational evidence. They are not enough to establish a reliable long-term acquisition cost or rank every keyword.

The order we follow before a controlled test.

  1. Facts confirmedServices, insurance, capacity and answered hours, signed off by your team.
  2. Inquiry path testedMade-up inquiries reach the named people.
  3. Measurement readySource capture and the reporting connection work end to end.
  4. Approvals checkedCertification, privacy review and account ownership in place.
  5. Controlled testInside the agreed budget, window and loss limit.

A sequence, not a status report for any client.

08So far

What has been done so far.

  • PreparedLocal-market research, a competitor ads and keyword scan, and a paid-search playbook, for a new center at a five-center network.
  • BuiltThe measurement engine: four stages from inquiry to admission, three costs kept apart, eight drop reasons and four review signals, with automated tests. Tested on invented data only.
  • In buildFor that new center: tracking, the reporting connection and certification support, before any campaign runs. Delivery depends on the agreed scope, access and approvals. Ongoing campaign management is a separate decision.

Not claimed: a live campaign result, a measured cost per admission, or a proven reduction in advertising spend.

09Ownership

Ownership and patient information.

Stays with you

  • Ad accounts and media budgets
  • Your domain, forms and tracking setup
  • Approval of forms, tracking vendors and data flows, by your privacy lead, before implementation

Never sent to ad platforms by this workflow

  • Patient identifiers
  • Admission records
  • Audiences built from patient data

Patient-level reconciliation is designed for your approved environment. This is not legal advice.

10Questions

What operators ask first.

Do you run the campaigns?

Research, preparation and measurement can be commissioned separately. If you want ongoing campaign management, we agree the specialist, responsibilities, fees and operating controls before launch. We can also work alongside your existing agency.

Do we need a new CRM?

Not necessarily. A well-maintained inquiry log can be a starting point. The useful level of attribution depends on source capture and reliable matching, not the name of the software.

What is a qualified inquiry?

A genuine request that meets the service-fit criteria agreed with your team. It is not an admission.

Can you prove our current agency is wasting money?

We can investigate the available evidence. Poor results can reflect targeting, response, service fit, capacity or incomplete tracking. We do not assign blame before examining those factors.

Can you guarantee admissions or certification?

No. We can prepare the work and report its status. Certification decisions belong to the relevant bodies, and campaign results depend on the market and your operation.

Bring the question your click report cannot answer.

Tell us how an inquiry reaches your admissions team and how you know what happened next. We will identify the first useful measurement or test.