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  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

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