Chapter Contents
The Role of Internal Communications
Critical, Proactive, and Transparent External Communications
Dealing With the Media
Responding to Negative Narratives
Advocating for the Government Support You Need
Lessons Learned: Transparent Communications
The Role of Internal Communications
During the coronavirus pandemic of 2020, LeadingAge members found themselves in an information universe changing faster than ever before. Understanding of the virus, epidemiological advice, government guidelines and regulations, and the progress of infections changed constantly.
Many LeadingAge members adopted a mantra during the coronavirus pandemic: “Communication, communication, communication.” Residents, clients, families, employees, board members, and other stakeholders needed to be informed of the state of the virus in their communities first (before the media and other external audiences), fully, and fast. The principles at work in good communication during this crisis can be applied to future emergencies as well.
Frequent Communication With Families
Ramping up regular communications with all stakeholders during the pandemic was a critical first step. Providers instituted conference calls, created frequent video messages from leaders, shared frequent email updates, and posted regularly on websites and in social media—all to ensure that everyone in their communities stayed informed. Note in the following examples how providers use a variety of communications modalities to reach people in many different ways.
- Sayre Christian Village has a YouTube channel with a variety of videos, including recorded conference calls for residents and their families, to provide information about testing or reopening.
- Member Ideas and Inspiration: Family Webinars Plus a “Facetime Team”
- Member Ideas and Inspiration: Upgraded Resident/Family Portal Keeps Everyone Informed
- Member Ideas and Inspiration: Adult Day Programs Find New Ways to Stay in Touch
- Member Ideas and Inspiration: Provider Creates a New Position to Facilitate Resident Communication
The need to transparently keep all parties informed, unfortunately, involved sharing bad news. Such notifications must be balanced by the privacy rights of those who are infected and HIPAA regulations. Here are some letter templates:
- Letter to Residents and Families – Positive Diagnosis in Staff or Resident (Word document)
- Letter to Residents and Families – Death of Staff or Resident (Word document)
- Communicating about positive COVID cases and visitation: FAQs from AMDA
Internal Communication About Vaccine Hesitancy Among Staff
- Jan. 14, 2021: Dr. Ruth Faden on “Justified Distrust,” Better Communication, and Overcoming Fear of Vaccination. See a written summary.
- March 4, 2021: Miles Lee and Tina Sandri onVaccine Encouragement in Their Organization
- March 8, 2021: Sigal Barsade on Promoting/Encouraging Vaccine Acceptance
For more on vaccine encouragement among staff, visit the section, Resources to Support Discussions about Vaccine Hesitancy in Nursing Homes in the Workforce Management and Support chapter.
Multiple Platforms & Modes of Communication
Communication with all audiences should happen on all your organization’s communications platforms. Repeat important information and reinforce your messages consistently in newsletters, emails, websites, social media, mailed correspondence, bulletin boards, and any other ways you reach the people in your community.
Empathy and Reasons for Hope
In addition to informing internal stakeholders, providers must also look for ways to keep residents, clients, staff, and families engaged and hopeful in a time of crisis that may be filled with fear, uncertainty, and sorrow. Creating uplifting experiences and facilitating easy communication, like those that follow, are equally important during a pandemic.
Member Ideas & Inspiration stories:
- Encouraging the Wider Community to Engage Residents
- Keeping Lines of Communication Open
- Matching Residents With Staff “Buddies”
- Residents Stay Connected With Families and the Community
- Video Series Tells the Stories of Residents, Families, and Staff
- Couple Reunited After 6-Plus Weeks of Quarantine, With Great TV Coverage
- A “Live Well” Parade Brings Residents and Staff Together
- Provider Launches Weekly “Prayer for the World” Conference Call
- “Discharge Dances” for Residents Who Have Recovered from Coronavirus
- Provider Arranges Drive-In Visits for Residents and Families
- Provider Organizes Drive-Through Visits for Residents, Families
The need to transparently keep all parties informed, unfortunately, involved sharing bad news. Such notifications must be balanced by the privacy rights of those who are infected and HIPAA regulations.
Member videos:
- National Church Residences CEO Mark Ricketts’ video podcasts
- National Church Residences’ COVID-19 playlist for staff
- COVID-19 Weekly Updates from Wellspring Lutheran Services
- COVID-19 Message From Michael Rosenblut, CEO, Parker Jewish Institute
- Jerry W. Brown, senior director of affordable housing for Covia, shares his COVID-19 experience and lessons learned.
- Volunteers of America CEO Mike King’s COVID-19 messages (video series about how VOA responds to the pandemic)
- Serving Seniors, San Diego, CA, has quadrupled its services since pivoting and expanding meal delivery services amidst COVID-19. Additionally a new program has been launched to help seniors in quarantine struggling with isolation. President and CEO Paul Downey has been doing video messages to the public at the Serving Seniors YouTube channel.
- Live COVID-19 updates to residents on the Westminster-Canterbury of Richmond in-house television channel, Tuesday and Thursday afternoons
- Presbyterian SeniorCare in Pittsburgh: HEROES with HEART
- Presbyterian Homes of MN: Inflatable Costumes Fun
- A Bronx Thanksgiving Day Parade: Hebrew Home Residents Thank Frontline Staff with Unique Gratitude: The residents of the Hebrew Home at Riverdale held a unique Thanksgiving Day Gratitude Parade for the incredible care team who has kept them safe throughout the year. Four local news reports:
- WNYW: Residents and Staff at Hebrew Home to Receive COVID Vaccines (Fox News video): As the Hebrew Home at Riverdale prepares for distribution of the Covid vaccine, Fox News Channel got a sneak peek into preparations. See also this mention in the New York Times: Nursing Home Residents Get First Shot of Vaccine.
- Hebrew Home Resident and Medical Director First to Receive Vaccine (video).
- Elim Park’s “Fighting Our Battle” in song (video)
- The New Jewish Home’s vaccination efforts were showcased in a broad range of media late last month, including Reuters, ABC7, PIX11, the cover of the New York Post, Telemundo, and Univision. In this video, Joana Camara, a resident at the Manhattan campus, was among the first in the nation to receive the COVID vaccine.
Critical, Proactive, and Transparent External Communications
Every provider should have a crisis communication plan that includes multiple elements for communicating both internally and externally.
Even in difficult times, providers must maintain a public face as a part of their local health care system, as members of their wider community, and as attractive service options for future residents or clients. In a pandemic that disproportionately affects older adults, the news media will be a constant and often critical audience.
Transparency and open communication are crucial to establishing your organization’s credibility and ensuring that each of your audiences know the facts and view your organization as a trusted source of information. It is crucial to tell the truth, tell it first, tell it fully, and tell it fast.
Crisis Communications Plan
As a result of a pandemic, providers are likely to have news to share with the community and may even receive a surge of media interest. A good plan guarantees a quick release of information and a consistent message at all times. It should, ideally, be written in advance and updated to address the needs of the specific crisis; as the situation changes, update it frequently.
The points below provide a framework for organizations developing messaging for media consumption and/or responding to press queries about diagnosed cases of COVID-19 in their organization. Tailor the content below, as needed, to your setting.
Define Your Team: A crisis communication team should be identified, with roles outlined in advance. It’s best to identify a single person with good communication skills as the spokesperson for the organization. This could be your CEO/executive director or another executive. This person’s actions will influence how your stakeholders react to the situation.
- Who Speaks for Your Organization? (LeadingAge magazine article)
Define Your Message: Simple, agreed-upon language about your organization, who it serves, and the values it upholds should be developed in advance. Keep the language straightforward. Provide facts without violating privacy. Explain the steps your organization is taking and emphasize your organization’s collaboration with public health organizations.
Prepare Strategies: Obviously, the contours of each crisis will make it unique, and not everything can be anticipated. But the plan should include at least a set of general strategies for a variety of situations, like statements to release if your organization deals with infection or deaths.
- Press Release: Positive Case (Word doc)
- Press Release: Death (Word doc)
Develop Contact Lists: Maintain updated information about local government agencies, public health departments, police and fire departments, key suppliers, and other health care providers. In addition, keep a list of local media, focused on journalists who are knowledgeable about older adult services and health care. As calls come in, record names and contact information of every reporter who calls and with whom you are in communication. Up-to-date reporter contact information is crucial to building media relationships.
Assess, Review, and Refine: Plan to regroup with your team after the crisis has passed, to assess how the plan was executed, including how to improve your processes for a future crisis event.
Resources:
- Planning for a COVID-19 Outbreak in Your Community (LeadingAge)
- Crisis Communications Webinar (LeadingAge)
- Crisis Communications Plan from the U.S. Government’s Ready public service campaign
- Crisis Communications Toolkit: Responding to COVID Spread. LeadingAge Ohio has worked with Hennes Communications to produce a crisis communications toolkit designed to provide information on establishing an action plan, describing ways LeadingAge Ohio can support members, and offering communications resources and templates.
- Audio interview: Sept. 30, 2020: Rachael Piltch-Loeb on Principles of Good Crisis and Risk Communication. Covers 6 principles of crisis and risk communication; why 3 key, succinct messages work best; and keeping staff motivated.
- Crisis & Emergency Risk Communication (CERC) from CDC: CDC’s CERC resources draw from lessons learned during past public health emergencies and research in the fields of public health, psychology, and emergency risk communication. Includes trainings, tools, and resources to help health communicators, emergency responders, and leaders of organizations communicate effectively during emergencies.
- Tips and Insights for Change Communication in Senior Living—includes links to communication strategies for pandemic outbreaks and for natural disasters (GlynnDevins)
- Preparing for Crisis Communications During a Pandemic (blog from Love & Co.)
- Six Elements of a Crisis Communication Plan (white paper from Cassling)
- Communication Resources from CDC (toolkits, posters for the workplace, multilingual materials, PSAs, and more)
- Communication advice from the preventepidemics.org playbook, part of Resolve to Save Lives
- Three Key Elements Of An Effective Crisis Communications Plan (Forbes article)
- Crisis Communication Plan: Nonprofit Toolkit (Colorado Nonprofit Association)
- VoiceFriend—An Option to Increase Connectivity: an automated communications solution that helps organizations communicate more efficiently and effectively with families, staff, and discharged patients
- Sept. 30, 2020: Rachael Piltch-Loeb on Principles of Good Crisis and Risk Communication
- 5 Communications Tips in Senior Care (white paper from Carefeed): Communications lessons learned in senior care communities during COVID-19, plus tips to help communities reach their audiences with the right message, at the right time, and using the right tools.
Transparency and open communication are crucial to establishing your organization’s credibility and ensuring that each of your audiences know the facts and view your organization as a trusted source of information. It is crucial to tell the truth, tell it first, tell it fully, and tell it fast.
Dealing With the Media
The experience of our field during the coronavirus pandemic—in which aging services providers were at ground zero for the worst effects of the disease—should inform our future approach to external communications. Older adult services will likely be not just a focus, but the focus, of media interest in similar situations. Here are tips for dealing with the media:
- Inform staff that any queries about the case must be directed to your organization’s designated media spokesperson when word of a diagnosed case is shared with residents/clients, families, staff, and others in your community. You want to maintain control of the message.
- Anticipate what you will need should reporters call. While you do not have to disclose all details of the situation in your public statements, you should be prepared to respond to any question, and those responses should have the same approvals as the statement.
- If you do not know the answer to an anticipated question, it is appropriate to say, “At this time, we do not have the answer to your question. We will provide updates as we learn more,” and then be sure to provide updates when you have them.
- Anticipate follow-up questions and consider developing a Frequently Asked Questions (FAQ) document to distribute to interested media.
Resources:
- Talking Points: Responding to Negative Views on Aging Services in Pandemic (LeadingAge)
- Media Relations Amid COVID-19 (QuickCast)
- Spotlight on Infection Preventionists: The Association for Professionals in Infection Control and Epidemiology (APIC) created a toolkit with social media posts, infographics, logos, videos, and other materials for infection preventionists and others to share online.
Responding to Negative Narratives
Despite the incredibly challenging conditions of a pandemic, aging services providers continued to take a calm, caring, and thoughtful approach in this public health crisis. The stark reality is, however, that this truth of your value and the complexity of your operations is not always understood by the media and the wider public. In the face of a pandemic, providers may be forced to continue to fight long-standing, negative narratives.
Social media is at its most powerful for providers when it offers a window on the positive culture within their communities. Uplifting pictures and videos of residents participating in activities, along with staff’s hard work, have great impact. Prioritize Facebook, which is the most popular platform among older adults, and designate staff who will be responsible for posting no fewer than 3 social media posts per week. Like all other modes of communication, social media presents the voice of your organization to the world, so be sure to have a working approval process in place.
Also consider proactive media outreach, to highlight positive and inspiring stories from the pandemic. It’s not always easy to get coverage for good news, but it’s worth trying to elevate bright spots in your community.
- Member Ideas and Inspiration: Showing How Positive Media Stories Can Be Amplified by Letters to the Editor
- Sayre Christian Village has a series of uplifting, positive videos made during the pandemic on its YouTube page.
- St. Paul’s Senior Services held a parade in honor of nurses working during the pandemic (YouTube video).
- Serving Seniors has a series of positive videos about how the organization has ramped up its meal delivery services in the midst of the pandemic.
- Three Pillars Senior Living Communities residents celebrate Older Americans Month despite the pandemic.
- Lambeth House creates an original song, “We Find a Way,” and a video highlighting resident resilience during the COVID-19 crisis.
- Heartwarming ABC News video report about Hooverwood residents, a married couple separated by COVID-19, reunited after recovery
- Hebrew Home at Riverdale Celebrates Recovered COVID-19 Patient Returning Home
- Mother Reunited with Daughter After Five-Week COVID-19 Recovery (Hebrew Home at Riverdale)
- Reputation management can guide providers through ‘perfect storm’ created by pandemic (McKnight’s): Account of a keynote presentation at the Senior Care Sales & Marketing Summit for 2020: a roadmap to help providers rebound from the pandemic-created reputational crisis.
- Setting a Record at the Retirement Community (New York Times): Mia Rollins and Seb Pihan, both 25, were the youngest ever to get married at her 91-year-old grandfather’s retirement community in Exeter, NH.
- “Lock Out the Virus” video produced by COVIA. This is a California community that was displaced by wildfires. Residents have returned to the community after a few weeks of property clean-up.
- Long-Term Care Annual Survey (Nationwide Retirement Institute): Over 6 in 10 agree they would rather never go to a nursing home and instead pass away first, and 87% feel it is more important than ever for people to stay at home for long-term care.
The stark reality is […] that [the] truth of your value and the complexity of your operations is not always understood by the media and the wider public. In the face of a pandemic, providers may be forced to continue to fight long-standing, negative narratives.
Advocating for the Government Support You Need
Though LeadingAge has staff who regularly talk to members of Congress, there is nothing more important to legislators on Capitol Hill than hearing from their own constituents. Your story can draw a picture better than any graph or table. Combining our efforts in DC with advocacy activities and examples from our members and the people they serve has a real impact.
In a serious crisis such as a pandemic, in which media and public attention is even more heavily focused on services for older adults—and may have an intensely negative character—it’s even more important that legislators hear about what you face in serving residents and clients.
- Make Your Voice Heard offers templates and suggested language on specific issues, allowing users to contact their representatives in Washington.
- LeadingAge’s Advocacy Champions Toolkit includes advice on advocating via district meetings and events, email, phone, letters to the editor, and social media.
- Coffee Chats With Congress is a campaign to help LeadingAge members set up conversations with their legislators, to talk about the good work they’re doing and the challenges their communities encounter. Download a Coffee Chat With Congress Toolkit and join us as we educate our members of Congress on the issues facing our members and residents every day.
- The Federal Legislation Tracker offers facts about bills LeadingAge is following in Congress, along with summaries and LeadingAge positions.
- The State Legislation tracker offers snapshots of aging services-related legislation enacted in state houses across the country, updated twice yearly.
- For more in-depth information on state-level legislation, link to LeadingAge’s State Partners’ websites.
LeadingAge audio interviews involving communication with government:
- April 14, 2020: David Hood of RPA on emergency preparedness plans and working with local and state emergency agencies
- July 24, 2020: Hank Lovvorn of Presbyterian Homes on In-Person Advocacy with HHS Deputy Secretary
- July 28, 2020: Andrew Banoff of Jewish Senior Services on Getting Through the Worst of the Crisis, Plus Good Interaction with Lawmakers
Lessons Learned: Transparent Communications
In the midst of an emergency as impactful as a pandemic, we must often act first and reflect later. It’s common for leaders to ask themselves retrospective questions, such as:
- Did I act too quickly or too slowly?
- What could I have done differently?
- Did my approach of choice work as well as I anticipated it would?
- How can I improve my responses if a pandemic recurs?
And then, of course, there is a lengthy series of “What ifs” that we ponder.
LeadingAge has received numerous lessons learned tips from members during the COVID-19 pandemic, which we are sharing at the conclusion of each related Playbook Section. In addition, a compilation of shared Lessons Learned may be referenced in the Playbook Appendix.
- PR Lessons from COVID-19: Communications in a Pandemic. Presentation from LeadingAge Annual Meeting 2020, session 14-D, on lessons learned by LeadingAge Communications staff.
- CARF International’s Aging Services team shares examples of 3 creative communication-related strategies implemented across its network of accredited providers. See this post from the Continuing Communication newsletter.
- Advocacy by Op-Ed: Taking the Case for Quality Senior Services to the Public (LeadingAge magazine article)
- Reputation management can guide providers through ‘perfect storm’ created by pandemic (McKnight’s): Account of a keynote presentation at the Senior Care Sales & Marketing Summit for 2020: a roadmap to help providers rebound from the pandemic-created reputational crisis.
- Communications in the time of COVID: Lessons Learned. This presentation, from the 2021 Mennonite Health Assembly, features the lessons learned about good communication policies from Landis Communities.
- Pandemic lessons: Connectivity, transparent communication keys to brighter future (McKnight’s Senior Living): By introducing a host of digital communication strategies, operators have come out of the pandemic better equipped to engage residents, staff, families, and prospects.
LeadingAge audio interviews involving communications:
- April 4, 2020: Dave Gehm of Wellspring Lutheran Services on serving COVID-19-positive residents, building trust, and testing
- April 8, 2020: Elizabeth Weingast of The New Jewish Home on coping with a large number of COVID-19-positive residents
- April 10, 2020: Roger Myers of Presbyterian Villages of Michigan on COVID-19-positive residents, philosophies driving crisis response, and protecting housing residents
- April 20, 2020: Dave Isay on StoryCorps and its new partnership with LeadingAge
- April 21, 2020: Carrie Chiusano of Presbyterian SeniorCare Network on how the pandemic affects care for those living with dementia
- April 22, 2020: Carol Silver-Elliott of The Jewish Home Family with a positive message for LeadingAge members
- July 8, 2020: Josh Bowman of Bethel Manor on Scavenging PPE, Visitation Plans, and Positive Media Coverage
- July 15, 2020: Marki Flannery of VNSNY on HCBS Services Hit Hard by COVID in NYC
- July 24, 2020: Hank Lovvorn of Presbyterian Homes on In-Person Advocacy with HHS Deputy Secretary
- July 27, 2020: Sondra Norder of St. Paul Elder Services on Taking in Residents Displaced by Fire, and St. Paul’s New Documentary
- August 12, 2020: Stacey Johnson of Trinity Health on Quality Control and Communication