Missouri Case Study 8 – Maximizing Our Missouri Hospital Outreach

Andrew Shaughnessy, Manager of Public Policy for PROMO
Andrew Shaughnessy
Manager of Public Policy, PROMO Missouri

Building off of the successful strategy in sparking Missouri hospitals into reviewing their LGBT welcoming policies, Missouri LGBT health advocates knew the potential we had to maximize our engagement with area hospitals. In this installment of the Missouri Case study, we will provide health advocates a few tips that helped us to maximize our engagement with our target hospitals.

Before beginning my work in public policy, I spent several years working on individual campaigns as field staff, and for three years as PROMO Missouri’s Senior Field Organizer. Bare with me as I put my organizer cap back on. As an organizer, you learn fairly quickly how to engage, communicate, and work effectively with several different types of community members. You help to educate and provide community members with the tools they need to be champions for a cause. The same rules apply when it comes to policy outreach. Here are a few of my organizing tips that will help you maximize engagement:

Tip # 1 – Follow-Up is Key

After mailing the second letter, we waited roughly two weeks before we attempted to make contact with our targets. We followed up with two phone calls within a two week span to Assistants of the Senior-level officials, making sure to leave voice mails.

Tip # 2 – Build Relationships with Assistants

Why should you follow-up and build relationships with Assistants? For many reasons, but 2 reasons will suffice:

  1. You want to know if the Senior official had received the review letters, correct? Most of their mail would be combed by their Assistant, who would likely be able to confirm this.
  2. Assistants should be seen as the gatekeeper. In order for you to schedule meetings with, and even sometimes talk with your official, you will need to go through their Assistant. The more they get to know you the comfortable they will be giving you access.

Following these simple tips will help you maximize your engagement with hospitals. From the beginning of our first outreach letter to this point took us roughly 60 days to complete. After finishing our follow-ups, we walked away having engaged 70% of our list in some way. 35% had confirmed that they were reviewing their current LGBT policies, and 25% confirmed they were actively trying to change their LGBT policies. In the next installment of the Missouri Case Study, we will discuss the nature of our conversations with Senior officials and tips for communicating effectively with them.


Published by Andrew Shaughnessy, MPH, MA

Thought partner, strategist, and award-winning advocate from a small rural town known as Ste. Genevieve, Missouri. Andrew worked successfully as an organizer, policy advocate, and philanthropic officer for fourteen years and in 2019 opened his own small business. Andrew is currently the owner of Limitless Horizons Consulting, LLC, headquartered in the Cortex Innovation District in the City of St. Louis. Andrew has advocated for implementing over 200+ policies in six states, raised millions for causes from health to the environment, and collaborated with numerous stakeholders on programs that positively impact the health and wellbeing of vulnerable populations.

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