From Zero AI Overview Mentions to First in Line: UF Health's 10-Step Content Process

A real-world case study on rebuilding search visibility in the age of AI Overviews

UF Health had the “endometriosis Florida” search result sewn up for years: first organic result, top local listing and a paid ad all on one page. Then Google launched AI Overviews, and the same query came back citing three competing OB-GYN practices with UF Health nowhere in the response.

This guide documents what the team did next: how they diagnosed why it happened, built a 10-step standard operating procedure for AI-assisted content, and went from zero AI Overview mentions to first in the carousel across a dozen specialty topics, with a process your team can repeat.

Inside This Guide:

  • What AI Overviews did to UF Health’s search results and why it happened
  • The 10-step SOP for AI-assisted content, built to scale across 1,800+ content authors with one dedicated writer
  • How targeting a 7th-grade reading level became a measurable competitive advantage, with real test cases and time benchmarks
  • One fix, two outcomes: Before-and-after rankings across six specialty topics and a worksheet to bring the process back to your team

The case study, the SOP and the worksheet: everything UF Health used to get back into Google’s AI Overviews.

What keeps a compliance program running after the deadline:

  • Assign compliance ownership: A team structure that distributes accountability across your institution, not just the marketing team
  • See what staying compliant takes: Testing cadence, training and approval steps that outlast the deadline
  • Prove your program is working: Reports and documentation that give legal and leadership what they need to see
  • Know your full compliance scope: From main site to social media, which properties are covered and which have exceptions

Whether your institution’s Title II deadline is next year or already behind you, the content your teams publish tomorrow still has to meet the standard. This guide gives marketing and communications leaders the three-phase structure, role assignments and governance policies to build a compliance program that runs, instead of just a checklist you finish once.

Disclaimer: This is compliance guidance, not legal advice.

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Siteimprove is the leading AI-powered SaaS platform for creating accessible, high-performing and compliant digital experiences. Trusted by 5,500+ organizations worldwide, Siteimprove helps digital teams optimize accessibility, content quality, SEO, analytics and brand consistency. With prioritized AI insights and innovations like the Accessibility Code Checker and Unified Search, Siteimprove turns complex challenges into actionable results—improving reach, reputation and ROI across the entire content lifecycle. For more information about Siteimprove, please visit www.siteimprove.com

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