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2009 RWJF Synergy Workshop Institute of Medicine Washington DC June 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
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2009 RWJF Synergy WorkshopInstitute of MedicineWashington 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 Use • Obesity • Workforce
Who Makes Federal Policy? • Administration • Congress • Interest Groups
The Administration • Executive Office of the President • Office of Domestic Policy • Office of Management and Budget
Administration • Health and Human Services • Veterans Affairs • Defense
ADMINISTRATION • Health and Human Services • Center for Medicare and Medicaid Services • National Institutes of Health
HHS • Food and Drug Administration • Health Resources and Services Administration • Substance Abuse and Mental Health Services • Centers for Disease Control • Indian Health Service
The Congress • Senate Majority Leader • Speaker of the House
Senate Committees • Finance • Health, Education, Labor and Pension • Appropriations
House • Ways and Means • Energy and Commerce • Education and Labor • Appropriations
American Heart Association American Cancer Society American Diabetes Association Paralyzed Veterans of America National Alliance Mentally Ill March of Dimes Voluntary Health Associations
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
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 Thought Processes
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 Values
PREFLIGHT CHECKLIST • LEGAL • TECHNICAL • POLITICAL • JURISDICTIONAL • PERSONAL