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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