The decision has been made to merge, affiliate, consolidate or whatever the going term. Two more physician practices are joining the throngs of others who realize that times are changing and there is safety (and most probably, great financial security) in numbers.
     Now that it's YOUR practice that's a changin', keep communications high on your priority list.
Yes, physicians tend to be good communicators. Yes, they are great at one-on-one patient communications. However, a practice consolidation will involve knowledge about PMS colors, not Premenstrual Syndrome.
     That means that unless the practice employs someone whose second language includes things like dpi, media strategies and arbitron ratings, find a consultant.
     Physicians who haven't been there, done that…shouldn't. Why risk miss-communicating the biggest change in a practice that may have taken a lifetime to build?

Tip #1: What to look for in a professional

     Engage the services of a professional marketing communications consultant who has experience with mergers and acquisitions. Ask if the firm offers full-service marketing. This includes marketing and communications planning and all aspects of public relations and advertising. Don't just settle for someone who can create a logo or a firm that specializes in ad campaigns. Invest in a professional service that truly provides full service, not just catchy ad headlines that aren't results-oriented.
Here's what to look for in a sound, effective communications plan.


Tip #2:
Focus on Employees

     Employees are the medical practice's top communications priority. The office staff is the most important audience. This is where patient retention begins.
     The office staff will successfully implement new policies and procedures. They will answer patient questions either with reservation or enthusiasm. Their facial expressions and voice tones will transmit positive or negative impressions about the new merger to patients.
     When communicating with the office staff, don't hesitate to transmit the tough messages. People want to know. Who will lead? Who will leave? Who will perform what job? How will the new practice deal with duplicate functions? Make the tough decisions and communicate them honestly.
     Effective employee communications will rally the new team quickly and move them to action. Each person wants to know how the consolidation will effect him or her. Armed with answers to those questions, they will move along in the process much more easily.
     A communications plan that shortchanges employees dooms the practice to a rocky start.


Tip #3:
Identify all Audiences

     Employees are top priority because they are first in line to communicate with patients. However, there are other key groups who need to hear the news.
     A good communications plan addresses the needs of all audiences. Plans should address both internal and external audiences.


Tip #4: The Timeline is Essential

     Make sure your key audiences hear it from you first! Repeat this again and again; the point cannot be over-emphasized.
     For example, bank employees who are expected to sell a new product shouldn't read about the product first in the local newspaper. Don't expect people to accept change unless they get the facts as early as possible and straight from the source. Make people feel part of the process, and they will be more apt to buy into change.
     How critical is tip #4? In the case of one bank, employees who heard about the change from their customers, not their employer, silently boycotted the new product. The product died a natural death in about eight months. Management's time and money for research and development were wasted.
     When key announcements are made, such as news that may impact stock prices, carefully developed timelines are required. NASDAQ, for example, required its members to notify them 15 minutes before releasing public information when I was working in that arena a few years ago. Little details such as this avoid large problems such as insider trading.


Tip #5: Little Things Really Do Matter

     Don't overlook little things that matter the most to employees and patients. Yes, details about benefits and job security are vital to employees. But some staff members shed tears over the loss of cultural habits such as birthday kitties and parking spaces they have had for years.
     People will switch physicians over seemingly little things such as having their weight announced out loud when they step on a hallway scale.
     A good communications plan helps make audiences as comfortable as possible with change. An attention to detail is important. Thing things through . . . up to the smallest detail.


Tip #6:
Be Honest

     Seems so basic. Yet organizations grapple each day with exactly how much truth to release to various audiences. There really is nothing to balance. The smartest managers know that half-truths or even lack of information lead to rumors and negativism.
     This includes the use of euphemisms. Remember Vietnam and don't call a war a police action. Don't call a buy-out a partnership. Don't hide behind words such as "reconfiguration of staffing" or "rightsizing" when "layoff" is the real word because real people will be standing in unemployment lines.
In The Reeingineering Revolution, Hammer and Stanton write: "…Get ahead of the anxiety curve with an early announcement. Information is always better than uncertainty. Taking the unprecedented step of telling the truth and treating employees like adults will earn management an unprecedented degree of respect and credibility."


Tip #7: Say it Again, Sam!

     One study indicates that people need to hear one point eight times before they "get it." The rule of thumb is to say make the point at least three times to each audience. Repetition is important to an effective communications program.
Communicate frequently. Especially to internal audiences.


Tip #8: Control the Media

     Proactive media relations will allow the new physician practice to scoop the press and control the timing and message with regard to TV and newspaper.
     As Donald W. Seymour writes in Hospitals and Health Networks, "Mergers are news, and it's appropriate that they attract attention. Critical to the acceptance of the merger in the community is a media plan for disseminating factual information and putting the merger in a favorable light."
Press releases are mechanisms by which communications professionals talk with the media. An effective communications plan should address the media's role.


Tip #9: Planning ABC's

     Physicians know the essential steps of medicine: history, physical, diagnosis, treatment and follow-up. Similarly, these are the essential steps of a good marketing communications plan: situation analysis, goals, objectives, action plan and timeline. Qualified professionals avoid paralysis of analysis, but deliver reports that clearly indicate a well-thought-out strategy. Yes, less is best…especially for a physician whose reading time is limited. However, a plan that lacks these basic elements may be lacking in results.


Tip #10: Integrate the Plan

     A communications plan must complement the practice's business and strategic plans. It should be an action plan that is based on the practice's business goals and that outlines how the practice will achieve those goals. A sound communications plan supports the practice's short and long-term objectives.


     Beth Ann Lombardi served as a director of corporate marketing and communications in both the banking and healthcare industries for 17 years before opening her own consulting firm.
She has helped engineer more than a dozen mergers and acquisitions, has been responsible for more than two dozen successful product introductions and branch office openings, and has overseen four major corporate name changes.



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