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2008 Synergy Workshop. Institute of Medicine Washington, DC. Advocating Change in Health Policy You can’t tell the players without a scorecard. Success inside the Beltway. Understanding the Drivers Who’s Who in the Iron Triangle of Health Policy Strategy Success. The Environment. Economy
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2008 Synergy Workshop Institute of Medicine Washington, DC
Advocating Change in Health PolicyYou can’t tell the players without a scorecard
Success inside the Beltway • Understanding the Drivers • Who’s Who in the Iron Triangle of Health Policy • Strategy Success
The Environment • Economy • Mounting Federal Deficit • Politics • Democratic Control of Congress • Republican President’s Popularity • Election Cycle
Who Makes Federal Policy? • Administration • Congress • Stakeholders
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 Administration • 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 • Appropriations
March of Dimes American Heart Association National Cancer Society American Diabetes Association Disabled American Veterans National Alliance Mentally Ill Voluntary Health Associations
Trade Associations • American Hospital Association • Association of American Medical Colleges • Federation of American Health Systems • Pharmaceutical Research and Manufacturers Association • Business Coalitions
UNIONS • AFL-CIO • UAW • SEIU
Professional Societies • American Medical Association • National Medical Association • American Nurses Association • American College of Physicians
Academia/Think Tanks • Every University • Heritage • Cato • Urban Institute • Opportunity Agenda • Brookings Institute
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 Community Service 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
Rules of the Road • Rule #1 --- be honest • Rule #2 --- seize the initiative • Rule #3 --- never get between a big dog and a fire hydrant