2008 synergy workshop institute of medicine washington, dc
TRANSCRIPT
2008 Synergy Workshop
Institute of MedicineWashington, 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• 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
Stakeholders
Voluntary Health Associations
• March of Dimes
• American Heart Association
• National Cancer Society
• American Diabetes Association
• Disabled American Veterans
• National Alliance Mentally Ill
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
Understanding and Strategy
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– 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
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