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Membership

Maya Thompson

Vice President of Member ExperienceNational Association of Community Health Professionals

Maya rebuilt her association’s first ninety days after she personally interviewed dozens of new members — and discovered almost none of them could name a single benefit they had used.

Columbus, Ohio

Maya Thompson smiling, photographed against a bright window.
Maya and her team gathered around a table reviewing member interview notes.
Photographed at the association’s Columbus office

Why we love this

Why We Love What Maya Is Doing

There is a particular kind of silence that follows a new member joining an association. The credit card clears, a welcome email goes out, a login is created — and then, very often, nothing meaningful happens for a year until the renewal notice arrives.

Maya Thompson decided to find out what that silence felt like from the other side. Over one winter she called forty-three people who had joined the National Association of Community Health Professionals in the previous six months and asked them a deceptively simple question: what made you join?

What she heard reshaped how a 19,000-member organization welcomes people. It also produced something rarer than a new onboarding flow — a shared belief across her staff that a member’s first ninety days are the most important thing the association does all year.

The Challenge

On paper, nothing was broken. Membership was growing modestly. The welcome email had a respectable open rate. The member portal had been redesigned two years earlier and looked fine.

But the first-year renewal rate sat stubbornly in the low sixties, and no one could explain why. "We kept treating it as a renewal problem," Maya says. "So every year we would write a better renewal email. It never moved."

The clue came from a support ticket. A nurse care coordinator in rural Kentucky wrote in to ask whether the association had anything on billing for behavioral health integration. It did — a toolkit, two recorded sessions and an active discussion thread. She had been a member for eleven months and had never seen any of it.

She wasn’t disengaged. She was lost. Those are completely different problems, and we had been solving the wrong one for years.

Maya Thompson

Listening to Members

Maya did not commission a survey. She asked her team to block ninety minutes a week for eight weeks and call new members directly — no script beyond four questions, no pitch, no ask.

The four questions

  • What was happening at work the week you decided to join?
  • What did you expect would be waiting for you when you logged in?
  • What have you actually used since?
  • Who at your organization knows you are a member?

The fourth question turned out to be the most revealing. Roughly a third of new members had joined because of a single specific problem in front of them that month — a new reporting requirement, a grant deadline, a clinic redesign — and nobody else on their team knew they had joined at all. The membership was invisible even inside their own building.

Interview notes, a laptop and coffee cups spread across a table during a member listening session.
Forty-three calls, transcribed by hand and sorted into eleven "reasons to join" on a conference room wall.

What They Changed

The redesign started with one question added to the join form: what brought you to us today? Members choose from the eleven reasons, or write their own. It is optional. Ninety-four percent answer it.

That single answer now drives everything that follows. The welcome sequence is written eleven different ways. A member who joined because of a reporting deadline gets the compliance toolkit, the two people on staff who know that regulation best, and an invitation to the monthly office hours where it is discussed — in the first four days, not the first four months.

Maya also insisted on something her team initially resisted: a real person’s name and photograph on every welcome message, and a reply address that reaches an actual inbox. "If we are going to say we know why you joined, someone has to be willing to be known back," she says.

What the first ninety days look like now

  • Day 1 — a two-minute welcome video from a staff member, matched to the reason the member gave.
  • Day 4 — three resources chosen for that reason, with a sentence explaining why each one was picked.
  • Day 12 — an invitation to one live thing: office hours, a member call, or a regional meetup.
  • Day 30 — a short check-in email that asks a question rather than announcing news.
  • Day 75 — a personal note from a peer member in the same role, not from staff.
Association staff working together at a shared table, laptops open and papers spread out.
Onboarding is now owned by the whole staff, not just the membership department.

What Happened Next

First-year retention moved from 63% to 71% over two renewal cycles. Maya is quick to point out that the number is not the interesting part.

First-year retention, up from 63%
71%
Of new members answer "why did you join?"
94%
Increase in first-90-day resource use
3.4×
Member interviews that started it all
43

The interesting part, she says, is what happened inside the staff. The eleven reasons are now printed and taped to the wall in the education department, the advocacy department and the events team. When someone proposes a new webinar, the first question in the room is which reason it serves.

We stopped arguing about what members want. We just point at the wall.

Maya Thompson

One more thing changed, quietly. That nurse care coordinator in Kentucky now co-hosts the monthly billing office hours. She was invited by the staff member whose face had been on her welcome message.

What Other Associations Can Learn

  • Ask why people joined at the moment they join. The answer is never as obvious as the membership category they selected.
  • Forty-three phone calls will tell you more than a survey with four hundred responses, because people say things out loud that they will not type.
  • A low renewal rate is usually a first-ninety-days problem wearing a disguise.
  • Put a name and a face on the welcome. Personalization that cannot be replied to is just formatting.

Maya keeps a note taped inside a desk drawer with the sentence that started the project, written down after her ninth call. It reads: they told us why they came. We just weren’t writing it down.

Every member should feel like we know why they joined.

Maya ThompsonVice President of Member Experience, National Association of Community Health Professionals

The Member Impact

What changed for members

Maya’s work turned onboarding from a membership department task into an organization-wide commitment — and gave every team a shared, member-stated definition of what "useful" means.

First-year retentionAcross two renewal cycles
63% → 71%
Resource use in the first 90 days
3.4×
Member-stated reasons now guiding programming
11

Beyond the numbers

  • New members reach a relevant resource in days rather than months.
  • Education, advocacy and events plan against the same eleven member motivations.
  • Every welcome message comes from a named person with a working reply address.
  • Members who were interviewed have become office-hours hosts and peer welcomers.

I joined on a Tuesday because of one billing question. By Friday someone had sent me the answer and asked how the clinic was going. I have never had an association do that.

Care coordinator, community health center, Kentucky — on Maya’s work

In their words

Hear It From Maya

Maya Thompson speaking with a colleague in her office.
Video interview coming soon

Maya Thompson on rebuilding a member’s first ninety days

6 min

Maya walks through the forty-three phone calls that changed how her association welcomes new members — and the one question she now adds to every join form.

Add a YouTube or Vimeo embed URL to this profile’s video.url field to replace this placeholder.

Maya’s team celebrating after a member listening session.
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