2009 RWJF Synergy WorkshopInstitute of Medicine

Washington DCJune 18-19

Success Inside the Beltway

• Understanding the Drivers• Who’s Who in the Iron Triangle

of Health Policy• Strategies for Success

The Environment

Economy Mounting Federal Deficit Politics

Democrat Control of the White House Democrat Control of the Congress President’s Popularity

Science

Health Care Priorities

↓Uninsured Cost Containment

Aligning Incentives for ↑↑ value and ↓ cost

Food and Drug Safety ↑Prevention

Tobacco UseObesity

Workforce

Who Makes Federal Policy?

AdministrationCongressInterest Groups

The Administration

Executive Office of the President

Office of Domestic PolicyOffice of Management and

Budget

Administration

Health and Human Services

Veterans AffairsDefense

ADMINISTRATIONHealth and Human

ServicesCenter for Medicare and

Medicaid ServicesNational Institutes of

Health

HHS

Food and Drug AdministrationHealth Resources and Services

AdministrationSubstance Abuse and Mental

Health Services Centers for Disease Control Indian Health Service

The Congress

Senate Majority LeaderSpeaker of the House

Senate Committees

FinanceHealth, Education, Labor

and PensionAppropriations

House

Ways and MeansEnergy and CommerceEducation and LaborAppropriations

Voluntary Health Associations

American Heart Association American Cancer Society American Diabetes Association Paralyzed Veterans of America National Alliance Mentally Ill March of Dimes

Trade Associations America’s Health Insurance Plans American Hospital Association Association of American Medical

Colleges Federation of American Health

Systems Pharmaceutical Research and

Manufacturers Association ADVAMED

Professional Societies

American Medical Association National Medical Association American Nurses Association American Pharmacists

Association American Trial Lawyers

Association

Academia/Think Tanks

Every University Center for American Progress Heritiage Cato Urban Institute New America Foundation Brookings Institute

UNIONS

SEIU AFL-CIO UAW ILGWU

Other Major Stakeholders

AARP Families USA National Governors Association National Conference of State Legislators

Secrets to Success

Academics vs Politicians

Thought Processes

Scientific Problem Statement Literature Search Methods Data Analysis Results Limitations Summary and

Conclusions

Political The issue Current Law Positions

The member The party Relevant Stakeholders

Budget Impact and Distribution

Staff recommendation

Values

Academic Publish or Perish A Mile Deep Peer Review Teaching Research/Grants Department Endowed Chair Tenure

The Hill The Power of the Press A Mile Wide Public opinion Meet and Greet Fundraising Jurisdiction (A/B) Committee Chair Reelection

PREFLIGHT CHECKLIST LEGAL TECHNICAL POLITICAL JURISDICTIONAL PERSONAL