Our customers are also increasingly coming to understand our investment and full capabilities in delivering exceptional secondary delivery systems. On a case-by-case basis, BD provides data at the system level incorporating the primary container, which creates a more readily usable format for the critical step of combination product registration filing. As shown in Figure 4, in an ISO 11608 drop test (1 meter drop) study comparing BD PhysiojectTM with one of the most commonly marketed disposable autoinjectors, BD PhysiojectTM outperformed the comparator autoinjector in terms of prefilled syringe breakages and successful complete injections. BD’s system integration has been designed to facilitate significant time and cost savings. These combination products include autoinjectors, wearable injectors, and prefilled syringes. Highlighting the benefits of streamlined and harmonized health insurance regulation, payment redesign, and secure, sharable clinical records, the presentations in this session target delivery system integration and connectivity as methods of lowering costs and improving outcomes. During IDS formation, many persons are asked to perform functions and tasks for which they have never been previously responsible. These services are designed to help pharmaceutical partners choose the correct components and system for their application, to assess and offer solutions to any potential challenges or sensitivities, and to help produce the necessary data packages needed to demonstrate the safety and performance of the integrated combination product. BD’s wearable injector, the BD LibertasTM, is the leading model of BD systems integration, designed from the bottom up with an array of proven BD components, including BD NeopakTM technology and cannula. Requirements Responses to the questions should be written in a clear, detailed manner […] However the great potential of BIM is to provide accurate, timely, and relevant information not just during design and construction for a single building, but also throughout the lifecycle of an entire portfolio of facilities. Furthermore, a single prefillable syringe technology that integrates with a broad range of secondary delivery systems can minimize the costs associated with managing multiple component interfaces and suppliers. This drives a high degree of accountability for BD, as the pharmaceutical sponsor can hold a single party accountable for performance of the total delivery system. This database houses hundreds of geometric tolerance stack-up chains that comprise system specifications and enables a comprehensive understanding of how the device components, as a well-integrated system, result in a high-performing combination product, the BD LibertasTM wearable injector. Here is a quick overview of the greatest benefits to project stakeholders. The result could be an uncapping motion that damages the needle and the drug delivery device. Moreover, quality commitment is maintained at the component and system (including primary container) level, which forces tighter specifications and reduced variability in system performance. She earned her BS in Biochemistry from Florida State University and her PhD in Chemical Engineering from the University of Virginia. Drawing on decades of experience and insight into industry trends and market practices, SullivanCotter enables integrated delivery systems to be more competitive by providing integrated workforce solutions and strategic total rewards guidance for executives, physicians, advanced practice providers and … Finally, between the drug and secondary delivery device, BD employs injection time modeling to improve overall device performance. Focus is one of the pioneers of the integrated delivery model in the Chicagoland area. IDSs are typically formed around either a teaching hospital or a community hospital system, and the physicians are usually IDS employees. Integration into networks became a rational choice for survival. Virtual Annual Meeting "At-A-Glance" Guide to Medicaid Authorities Available to States for Integrated Programs 2. Tel: (973) 299-1200 March 15-19, 2021, INTERPHEX During the health reform debate, many health policy experts have called for the country to reorganize healthcare providers and delivery systems through organizational or virtual integration. It will ensure patient’s safety and better patient’s and family satisfaction. Integrated health care delivery can benefit individuals in settings across the lifespan: Primary care. A well-integrated system anticipates and mitigates system performance risks early in development. These risks and the costs associated with them, while real, may not be immediately obvious to the pharmaceutical company. Integrated health systems create capacity to take on new knowledge. To form and operate integrated health care delivery systems successfully requires a great deal of commitment, leadership, and business savvy and can pose major challenges to even the most experienced health care executives. Needle Extension Variability Limitation of Non-Integrated System – Needle extension (depth) is not always well-controlled or understood when the autoinjectors and prefillable syringes are combined. Privacy Policy / Terms and Conditions Community-based health centers. AAPS Pharm Sci 360 October 17-20, 2021 Dr. Theresa Bankston is Director, WW Technical Services for BD Medical – Pharmaceutical Systems, where she leads the group that is responsible for providing technical support, solutions, and services around delivery systems for injectable drug therapies. This enhanced fit supports greater choice and flexibility for pharma to serve diverse patient groups, therapeutic areas, and markets with the appropriate delivery format. Unlike most add-on safety devices, BD UltraSafe PassiveTM and BD PlusTM Passive Needle Guards are designed to work with BD prefillable syringes. Focus’ Integrated Model. The concept of integrated healthcare delivery systems (IDSs) has gained considerable interest. The purpose of this study was to explore primary care physicians' beliefs regarding the benefits of integrated care for both patients and themselves. We are a team of professionals that can realize your vision, within your budget, while reducing strife, making the process easier and more enjoyable. The integrated care pioneers are part of a wider programme of work to support the delivery of integrated care at pace and scale. Systems such as Kaiser Permanente offer excellent “platforms” for health information technology, the right mix of clinical expertise to meet the needs of their population, and appropriate internal payment and performance incentives. Rate Setting and Risk Adjustment: A Checklist for States Information regarding optional models for an integrated Medicaid and Medicare appeals process for special needs plans inclu… Integrated System Solution – With BD’s visibility to detailed, proprietary prefillable syringe component specifications, critical dimensions to assembly which incorporate both BD PhysiojectTM and prefillable syringes are accounted for within the assembly process design. Since our inception in 1993 our integrated model for delivery has enables us to deliver the highest quality projects to our stakeholders and partners. What benefits are attributed to integrated delivery systems? Free choice of providers is a major selling point. Integrated Delivery System (IDS), is an organized, coordinated and collaborative network that links various healthcare providers, via common ownership . Benefits of IPD A system that allows common sense, efficiency and shared goals/incentives to triumph. The fact that many of these therapies are designed for home delivery by patients or caregivers via subcutaneous injection, combined with increasing complexity of longer-acting formulations, larger injection volumes, and longer injection durations, has raised the bar for seamless injection delivery technology. These studies provide evidence of more predictable clinical outcomes with BD’s integrated system. 219 Changebridge Road A literature review and detailed analysis of financial and quality indicators found “scant evidence” of improved quality, lower cost per case, or greater societal benefit. Six common uses of the term are described in this Brief. Author information: (1)Health Policy and Clinical Research Division, Abt Associates, Cambridge, MA, USA. Such systems have been viewed as a better approach to addressing the issues of quality and cost. The concept of integrated healthcare delivery systems (IDSs) has gained considerable interest. Activities may be handled awkwardly at first and, as a result, risks usually not present may emerge. Indeed, some IDSs are frequently portrayed not just in academic and medical circles but in the popular media as examples of the best, most effective healthcare in this country. “BD ensures that our components will work together. CENTERIS - International Conference on ENTERprise Information Systems / ProjMAN - International Conference on Project MANagement / HCist - International Conference on Health and Social Care Information Systems and Technologies, CENTERIS/ProjMAN/HCist 2018 Assessing the Benefits of the Integrated Project Delivery Method: A Survey of Expert Opinions Alberto De Marco a*, Ahmad … While pharmaceutical companies will conduct their own testing with the actual formulation, this early testing of the system increases confidence in the usability of the components together and reduces risks of unforeseen issues. Because BD produces both primary and secondary systems, they have a unique appreciation of nuances that can support customers in meeting ISO standards. When realized, these risks bring an increase in project management complexity and time, a potential delay to launch, and unforeseen issues post-launch, among others. Medicaid and Medicare Authorities to Implement Long-Term Care Capitation Models 3. BD UltraSafe PassiveTM & BD PlusTM Needle Guards – This family of products are add-on passive needle guards for prefillable glass syringes, offering versions for both cut flanges and small round flanges. September 02, 2016 - Integrated care delivery in a team-based primary care setting has the potential to provide better patient outcomes, fewer hospital visits and lower costs, according to a 10-year study conducted by Intermountain Healthcare.. We think of ourselves as the project’s owner, because we have skin in the game. Kautz CM(1), Gittell JH, Weinberg DB, Lusenhop RW, Wright J. BD can also anticipate where problems can arise throughout the development process and how to troubleshoot them effectively. BD designs for system performance to help manufacturers avoid project delays and post-launch issues. Integrated-delivery systems mitigate moral hazard because, usually, the doctors are salaried and do not get more money by doing more diagnostics. The growing complexity and regulatory rigor of combination products has called for increasingly innovative delivery devices. Guidance tools like the Integrated Care Roadmap(ZIP, 3.13 MB) include: 1. without improving health systems. It also shows your commitment to increased performance, employee and customer satisfaction, and continuous improvement. BD’s leading primary container designed for biotech drugs, BD NeopakTM, ensures fit with many secondary systems, including BD handheld autoinjectors, wearable injectors, and passive safety devices. March 15-17, 2021, Pharmapack Drug Delivery & Packaging DELIVERY OF HEALTH CARE, INTEGRATED HEALTH CARE ECONOMICS AND ORGANIZATIONS HEALTH POLICY This policy summary is one of a new series to meet the needs of policy-makers and health system managers. Higher reject rates and possible primary container breakage during assembly may occur as a result. This approach is intended to develop a seamless delivery system that performs as designed and meets the rigorous regulatory requirements for safety, effectiveness, functionality, and usability. Integrating physicians into the delivery system creates an important partnership that can benefit both the hospital and the physicians. Integrated System Solution – With BD’s integrated autoinjectors, the caps are designed to integrate with and reliably remove the RNS so that the needle is not damaged. What benefits are attributed to integrated delivery systems? Her areas of expertise include process chemistry and engineering development, analytical method development, and drug-container integration science. We think of ourselves as the project’s owner, because we have skin in the game. However, the evidence used to support such assertions may not have been systematically evaluated. The US healthcare system has long been characterized as complex, fragmented, costly, and with significant variation in quality of care. Introduction: There are benefits of integrating a behavioral health specialist in primary care; however, little is known about the physicians' perspectives. Kaiser Permanente is the quintessential example, but there are Integrated delivery systems (IDSs) are vertically integrated health service networks that include physicians, hospitals, post-acute services, and sometimes offer health insurance. Business Information Modeling (BIM) has transformed architecture, engineering and construction. Although the presumption in health services literature has been that integrated delivery systems (IDSs) should improve the coordination of care, the benefits have not yet been well established through empirical research. A new study by LDI Senior Fellow Lawton Burns and colleagues challenges the conventional wisdom about the societal benefits and comparative advantages of integrated delivery networks (IDNs). BD LibertasTM Example – Another example of where a systems integration approach adds value is the tolerance stack up analysis conducted to design the BD LibertasTM wearable injector for high-scale production. Model in the game prefilled syringes & injection devices integration is best seen as result! Customers are also increasingly coming to understand our investment and full capabilities in delivering exceptional secondary delivery achieve. That damages the Needle and the drug and secondary delivery device, is... Across the lifespan: primary care base for each component can result in an integrated healthcare system! Care • integrated delivery system ( IDS ), is an organized, and. As a better approach to addressing the issues of quality and cost savings come from potentially delayed! 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