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Poor data negatively impacts many areas in the extremely complex healthcare supply chain. Most
importantly, poor data jeopardizes patient safety when the supply chain fails to deliver the right medical
product of the right quality to the right patient at the right place and at the right time.
As a result, supply chain data standards have been a major topic for the healthcare industry – and standards
adoption is now considered a requirement for effectively controlling both patient care quality and cost.
In the past, there have been numerous discussions in healthcare regarding the value of standards and which
standards to use; now, the emphasis is on implementing them, and data standards developed by GS1 have
emerged as the pre-eminent system for healthcare.
Industry groups (e.g., AHRMM, CHeS, and SMI) and various integrated delivery networks (IDNs), group
purchasing organizations (GPOs), and suppliers have endorsed GS1 standards. In addition, many of the
healthcare industry’s supply chain partners voluntarily established the end of 2010 -- known as the “2010
GLN Sunrise” -- for the adoption of GS1 Global Location Numbers (GLNs) to replace custom account numbers
and locations on specific EDI transactions.
SAP supports GLNs, as well as Global Trade Item Numbers (GTINs), which have their own Sunrise target of
December 31, 2012. SAP also supports Traceability and ePedigree, which become law in California in 2015
and have legislation in place or pending in other states and countries.
In this presentation, we’ll see how SAP solutions support GLN, GTIN, and other GS1 standards (often
exceeding them) to enable our customers to realize the benefits shown in various pilot programs, and we’ll
also learn how Johns Hopkins has implemented GS1 standards and lessons that were learned.
Topics
Global Data Synchronization (GDS) ensures that suppliers and buyers share the same product and
service data to avoid procurement errors and lengthened procurement cycles
SAP support for GLNs
• Procure-to-Pay transactions
• EDI Transaction Sets
• Healthcare IBU-sponsored GLN Enhancement Project extends core GLN functionality
SAP Support for GTINs
• Source-to-Pay transactions
• EDI Transactions
• Mapping to Material Numbers
Why Adopt the Standards? Product Safety, as
numerous incidents occur and regulation increases
COMPLIANCE
The accelerating trend towards regulation and mandates
on serialization requirements affects Healthcare, Life
Sciences, Higher ED & Research, Public Sector, Wholesale
Distribution, Consumer Products, Retail, Defense, High
Tech, Chemicals, and others
Regulations in place
Under development
From McKinsey & Company healthcare report "Strength in unity: The promise of global standards in healthcare,“ as presented at the 22nd Global
GS1 Healthcare conference in Portugal from 23rd to 25th October.
Why Adopt the Standards? ROI!
Documented benefits from “real-world” implementations
Enhanced patient safety and brand protection
Product traceability in a complex, global supply chain > brand protection, product authentication and reduction in risk of
counterfeiting, diversion, and fraud
Reduced medication errors (patient/drug matching)*
Product safety and support withdrawal or recall with near-real-time corrective action
Comply with regulatory and quality standards and reduce cost of nonconformance
BD/Mercy ROI study
30% reduction in days payable outstanding
73% reduction in discrepancies on POs
Fewer stockouts due to simplicity offered to nursing staff for scanning barcodes at the bedside
Improved sourcing of products by use of a barcode to determine right product and to reorder
One source for product data > improved data accuracy
Global uniqueness of data with no Unit of Measure errors
Accurate product data (manufacturer ID, expirations, clinical attributes, etc.) > eliminates synchronization “work-around”
processes
Improved process efficiency
More accurate POs, invoicing, and payment processes
Perfect alignment on contract eligibility
Reduced billing and shipping errors / clean data on delivery locations and account info
Better product and lot number tracking
Greater insight into demand patterns and inventory management
Integration with diverse mobile equipment (Tablet PC, BlackBerry, iPhone, other cell phones
Reduced costs *Hospitals average 1 medication error per patient each day (Institute of Medicine)
The Destination:
Patient Care and Safety
GDSN-certified data pools serve as electronic catalogs for product, service, and location data, based on GS1 Identification Keys
(Global Trade Item Number, GTIN, and Global Location Number, GLN).
They provide users with a single point for accessing the GDSN, a central location for storing and managing product and
service data and accessing the Global Registry.
In addition to storing data, they facilitate synchronization of data among supply chain partners
Supply Network Traceability with ePedigree/Authentication
Manufacturer
Increases brand value
and sales volume
Customs
Will be supported in
his territory duties
After-Sales Services
Capability to deliver Service
Distributor
Wholesaler Patient
Logistics Service Provider Safety is enhanced by
Automates processes and
Hospital reduced risk of
authenticates goods medication errors and
Packaging hierarchy changes Tracking of supplies, medications (even in unit doses), devices, and
counterfeits
equipment
Tracking of patients, assets, blood samples …
Patient / drug matching * PTA Product Tracking & Authentication
** OER Object Event Repository
Facilitated recall and returns
Traceability using Patient Management, Event
Management, and Object Event Repository
SAP Object Event Repository
OER
Product Need a way to track a product as it SAP OER is an EPCIS-compliant enterprise level
serialization moves through the supply chain solution that serves as the system of record about
uniquely identified objects.
Need a way to store and manage EPCIS INTERFACE tagged product flow at multiple locations,
Data capture multiple local processes
millions of transactions acquired by AUTO-ID Repository
& repository interrelated tracking of child & parent objects
tracking product movement Event Management Analytics
Security Services and document associations
Industry Need a standards-based mechanism for centralized data exchange with trading partners
Standard sharing data for multiple use cases single set of interfaces and repository to
growing number of enterprise consuming
Secure data Need a way to share data with trading applications
EPCIS CAPTURE INTERFACE support various data streams [EPC, Transaction,
exchange partners to identify business value
POS, …] to drive business value
Suppliers
Retailers 3 PLs
Non-SAP
system Subcontractors
Authentication using GS1 EPCIS and SAP
Object Event Repository
Manufacturer
Hospital
2. Ship original item
Counterfeiter
* PTA Product Tracking & Authentication
** OER Object Event Repository
SAP Support for GS1 Standards:
Making the Supply Chain Run Better
GS1 System of Standards & SAP Solutions
GLN
transactional data, like request-to-pay and order-to-cash)
GLN Site Sub-Location Types (SSLT) supported by SAP Auto-ID
Government Regulations
Reduce medication errors SAP Auto-ID Enterprise Solution with Event Management (EM)and Object Event Repository (OER)
SAP Auto-ID Enterprise – secure Tracking & Tracing solution, including product tracking & authentication
Documentation of serialized medical products within SAP/non-SAP Patient Management (e.g., legal
Enable global traceability &
requirement in France)
authentication
For advanced authentication, we are looking at partnering with providers in collaboration with major
healthcare manufacturers
SAP Healthcare providers, manufacturers, suppliers, distributors, GPOs, exchanges, retailers, TPLs, and insurers can
take advantage of SAP’s ERP and EPCIS-certified Auto-ID Enterprise products that support GS1 standards.
SAP solutions for ERP and Auto-ID and item serialization enable:
Supply chain execution -- identify and track items during supply chain execution, enhancing the ability to
support outbound and inbound logistics, tracking, tracing, and reporting on inventory movements
Outbound logistics – maintain (GLNs and GTINs on Purchase Orders (new and changes), commission and
encode tags (according to EPCIS standards), pack and load units, cases, and pallets using RFID, issue goods
automatically, handle unit-level tracking-and-tracing;
Inbound logistics -- automated goods receipt and validation with Order Confirmations and Advanced Shipping
Notifications, using automatic processing of shipping and receiving, based on automatic ID and tracking of
items
Invoice processing – GLNs and GTINs are maintained on invoices
Asset management -- track and maintain stationary and reusable assets, identify equipment, select work
orders, record work, and update equipment histories
NOTE: GS1 Compliance in ECC is part of standard delivery since ECC 6.0, EhP2; no additional licensing is
required
Documentation on SAP GS1 support, including GLN and GTIN functionality, can be found at
http://help.sap.com/saphelp_dbm700/helpdata/EN/62/e0391eaa73b64f9ac8991ecf20b3b3/frameset.htm
SAP Support for the
Global Location Number (GLN)
What is the GLN?
The GLN is a standardized, globally-unique, 13-digit number used to identify any legal or functional
entity, trading party, or physical location in the world (at whatever level of granularity is needed by the
healthcare provider, manufacturer, supplier, etc.). It is a required component of the Global Data
Synchronization Network™ (GDSN™) and used in conjunction with Global Trade Item Numbers (GTINs)
on purchase orders, sales orders, delivery, payment, and rebate and chargeback documents, and others.
Its basic components are:
*NOTE: The Prefix is variable-length. The GLN Registry uses five seven-digit Prefixes to create GLNs for providers (i.e., providers don’t
create their own GLNs -- they submit a list of their GLN hierarchy to the Registry, which then creates and assigns the GLNs).
Physical locations with a single point of access with a physical Legal entities
address Healthcare hospitals and providers
Hospital, manufacturing location/plant, or distribution center Manufacturers
Warehouse or specific door within a dock within a warehouse Wholesalers
Truck GPOs and Exchanges
Ship-to location Distributors
Deliver-to location (not necessarily the same as Ship-to location) Third-party logistics
Aisle/shelf/bin in a store room Functions within a legal entity (e.g., Accounts
Department/Cost Center Payable)
A storage or distribution cabinet (e.g., Pyxis or Omnicell unit) Nursing stations
Ancillary departments
GLN Assignment can Vary by Organization Size and
Needs
For smaller organizations, it may be sufficient to assign a single GLN at the highest level. The
GLN may be used as a replacement for an custom account number or similar identifier (e.g.,
supplier number, manufacturer number, customer number, etc.). This requires collaboration
with trading partners in advance of the transition from an existing custom account number to
the GLN.
Larger, more complex organizations usually have many GLNs to represent different physical
or logical entities and/or subsidiaries – e.g.,
A hospital may have a separate GLN for its shared-service Accounts Payable Department
A hospital may have different ship-to GLNs for Pharmacy, operating theaters, ancillary
departments, and Receiving departments
A manufacturer, distributor, or pharmaceutical, biomedical, or medical device supplier
may have different GLNs for various internal or customer locations (e.g., internal
manufacturing, packaging, and inventory locations; and customer ship-to, deliver-to, and
bill-to locations)
Mayo Clinic GLN Hierarchy (used for EDI POs)
Healthcare Applications
GLNs in supply chain operations: The healthcare supply chain can be highly complex, particularly
with products that follow multiple routes between the manufacturer and a hospital or pharmacy.
GLNs can be used to uniquely identify individual shipping and delivery points, as well as the final
destination of a product or service. This information can be provided in electronic commerce
messages that can be used for track-and-trace purposes, as well as appearing on the shipping label in
a bar code or RFID tag.
GLNs in eCommerce transactions: The use of GLNs is required in many types of electronic commerce
transactions, and is most commonly used in conjunction with GTINs for purchasing, shipping, and
invoicing transactions. They can identify suppliers, purchasers, and ship-to, bill-to, and other locations
(e.g., pay-from and pay-to). GLNs are increasingly important in healthcare transactions to ensure that
correct pricing is applied to specific customers and that ordering and delivery processes are
increasingly efficient, requiring minimal (if any) intervention from clinical staff.
GLNs in data synchronization: When hospitals and their trading partners exchange price and other
information about the products or services they trade, this process is called Data Synchronization.
The data exchanged by data synchronization is non-transactional and includes the unique product
identifier (GTIN, Global Trade Item Number) and additional data attributes, such as product and
service descriptions, regulatory information, units of measure, latex content, sizes, and weights. This
ensures that resulting purchasing transactions are based on accurate and complete data.
Healthcare Applications
Suppliers
Apply to GS1 for an assigned GS1 Company Prefix to be able to create their GLNs. After obtaining a Prefix,
they decide how granular their GLN structure will be, and assign GLNs to their locations, based on their GS1
Company Prefix, GS1 standards, and GLN Allocation Rules.
Once the company defines or validates its GLNs, it registers them with the GS1 US GLN Registry for
Healthcare®, which acts as an index /”Yellow Pages directory”) to the various suppliers’ data pools, which
are electronic catalogs in the Global Data Synchronization Network (GDSN) that contain product and service
data). The GDSN also provides information for sharing data through subscriptions to hospitals and other
data “customers,” who use the data for sourcing and procurement.
The 2010 GLN Sunrise goals enable Healthcare trading partners to be able to conduct
business using GLNs -- and realize their benefits -- by the end of 2010:
GLNs are assigned by location owners (providers, distributors, manufacturers, GPOs,
exchanges, etc.)
GLN hierarchies are defined and maintained by location owners
The GLN Registry for Healthcare® is used to facilitate correct location identification
GLNs are used in appropriate business transactions and processes among trading
partners
Trading Partner Scenario with Document
Exchanges of GLNs and GTINs
SAP supports GLN, GTIN, and UNSPSC standards on Purchasing, Inventory, Sales & Distribution, Invoice, and Rebates
& Chargebacks functions, as well as (via Traceability functions) manufacturer-to-patient tracking of supplies, meds,
devices, and equipment in an EPCIS-certified Repository
CUSTOMER MANUFACTURER
GDSN
GPO,
DISTRIBUTOR,
or
EXCHANGE
SAP Healthcare providers (private and public), life science manufacturers, distributors, GPOs, exchanges,
consumer products, retailers, and insurers can take advantage of SAP’s ERP and EPCIS-certified Auto-ID
Enterprise products that support GS1 standards -- today.
GS1 GLN Transaction Priorities
(GLN Sunrise 2010)
SAP Support for the GLN
GLNs are maintained in three GLNs are contained in the following four EDI transactions*
sources Purchase Order/PO Change (850)
Sold-to Party/Buyer
1. Vendor Master (used by customers) – one Vendor
per Partner Function, e.g.: Ship-to Party (at header if all lines’ Ship-to =; line level if differs by
Organization Entity line)
Order-from Party
Order Acknowledgement (855)
Invoice Presenter
Sold-by Party(Sales Organization) Sold-to Party
Bill-to/Invoice Recipient
Ship-from Party (Shipping Point)
Payer
2. Customer Master (used by manufacturers, Ship-to Party
suppliers, distributors, GPOs, exchanges, etc.) Despatch Advice / Advance Shipment Notification -- ASN
– one per partner function, e.g.: (856)
Organization Entity Ship-from Party – Vendor Shipping Point)
Buyer/Sold-to Party Ship-to Party – Customer Plant)
Sold-to Party -- Customer SP partner function)
Ship-to Party (header and line levels)
Seller/Sales Org)
Deliver-to Party (header and line levels)
Bill-to Party/Invoice Recipient Invoice (810)
Payer Invoicing Party
Sold-to Party
3. GLN Table (used by all users, but some Bill-to Party/Invoice Recipient
business objects are used only by customers, Payer
while others are used only by manufacturers, Company
distributors, suppliers distributors, GPOs, Sold-by/Sales Org
exchanges etc.) *Rebates and chargebacks are addressed by the SAP
Paybacks and Chargebacks by Vistex solution
How SAP Currently Supports GLNs:
Vendor Master
This example shows multiple lines with the same Facility/Plant (therefore, the Ship-to/Bill-to will be at header level). Note use of GuiXT tool to
change “Company” to “Organization ID,” “Material Group” to “UNSPSC,” “Plant” to “Facility,” and “EAN/UCC” to “GTIN”
Core functionality uses the Facility/Plant for both the ship-to and bill-to GLNs
Core functionality does not handle ship-to/bill-tos below the Facility/Plant level.
A PO with differing line Facilities/Plants will have the Ship-to/Bill-to at the line level.
GLNs for Storage Locations (and other lower-level, ship-to business objects, such as warehouses, cost centers, etc.) are supported by enhanced
functionality available via Guides/”cookbooks” in the SAP Service Marketplace for Healthcare at http://service.sap.com/healthcare-guides
GLNs on Outbound PO – ORDERS, ORDCHG
(850): GLNs @ Header Level (Line Ship-tos =)
NOTES:
This example shows differing Facilities/Plants (therefore, Ship-to/Bill-to GLN will be at line level)
GLNs for Storage Locations (and other lower-level, ship-to business objects, such as warehouses, cost centers, etc.) are
supported by enhanced GLN functionality available via Guides/”cookbooks” in the SAP Marketplace for Healthcare at
http://service.sap.com/healthcare-guides
GLNs on Outbound PO (850) IDoc: Ship-to/
Bill-to Differs by Line
GLNs on Outbound PO (850) IDoc: Ship-to/
Bill-to Differ by Line: Lines 1 and 2
GLNs on Outbound PO (850) IDoc: Ship-to/
Bill-to Differ by Line: Lines 3 and 4
GLNs on Order Confirmation (855) IDoc
LF: Vendor
WE: Customer (Ship-to/Bill-to)
AG: Customer
GLN on Outbound ASN (856) IDoc:
Ship-to (Customer)
GLN on Outbound ASN (856) IDoc:
Sold-to (Customer)
GLNs on Outbound Invoice (810) IDoc
SAP has offered basic GLN functionality (originally developed for CP and Retail in
2006) in the core solution since ECC 6.0 EhP2.
While this GLN functionality exceeds recommended GS1 minimum requirements
(which are only for Ship-to and Invoice locations), customers in numerous
industries told us that they require GLN support for additional business objects
(notably, for Ship-to locations) on IDocs in order to be able to accurately conduct
business.
You also told us that they need GLN Search Help for vendors and customers.
After verifying the requests and researching potential approaches, we created
Guides (“cookbooks”) for enhanced Global Location Number (GLN) functionality
that document (with embedded coding examples) how to build the needed GLN
enhancements.
Requested GLN Enhancements
Additional Business Objects w/Search Help & Validation
1. Enhanced GLN Table with additional Business Objects; this required a new GLN Table transaction to
enable the maintenance of GLNs for existing and new objects with search help and validation:
Storage Location (LGORT) – override Plant for Ship-to Locations
Warehouse (LGNUM) – overrides Plant for Ship-to Locations
MRP Area (BERID) – overrides Plant for Ship-to Locations
Purchasing Group (EKGRP) – overrides Purchasing Org for Buyer and Sold-to Locations
Cost Center (KOSTL) – for Buyer, Sold-to, and Ship-to Locations
GL Account (SAKNR -- CoA + GL Account) – lower-level GLN for Cost Center (e.g., multi-disciplinary
research or project teams that are geographically dispersed)
GL Account (SAKST -- CoA + CO Area + GL Account + Cost Center)
Asset (ANLNR) -- for Ship-to Locations
Project/WBS Element (POSID) – for Ship-to Locations
Internal Order (AUFNR) – for Ship-to Locations
Distribution Channel (VTWEG) -- for Sold-by Party (overrides Sales Org)
Sales Division (SPART) -- for Sold-by Party (overrides Sales Org and Channel)
These additional business objects provide flexible GLN determination for EDI transactions and XML messages (XML
messages are used by the Supplier Relationship Management product in lieu of EDI transactions, but were not in
scope of the GLN Enhancement Project).
2. Provide search help and validation for all GLN business objects (core and new) in the enhanced GLN
Table program
Requested GLN Enhancements:
Additional Business Objects (Enhanced GLN Table Program)
Core GLN Table Business Objects Enhanced GLN Table Business Objects
NOTES:
This example shows differing Facilities/Plants (therefore, Ship-to/Bill-to will be at line level)
GLNs for Storage Locations (and other lower-level, ship-to business objects, such as warehouses, cost
centers, etc.) are supported by enhanced functionality available via Guides/”cookbooks” in the SAP
Marketplace for Healthcare at http://service.sap.com/healthcare-guides
GLN for Line 1 (Park Clinic, Storage Location =
Pharmacy)
GLN for Line 2 (Park Clinic, Storage Location = Clinic
Pharmacy)
GLN for Line 3 (Diablo Valley Medical Center, Storage
Location = Pharmacy) – not in GLN Table
GLN for Facility/Plant
0002 used, since Storage
Location 0002/RX not
defined in GLN Table
GLN for Line 4 (Diablo Valley Medical Center, Storage
Location = Satellite Pharmacy)
Sales Order with Ship-to GLN in Line Text Field
Vendor Search Help by GLN: Transactions
Customer Search Help by GLN: Master Data
Customer Search Help by GLN: Master Data
GLN Enhancement Guides/”Cookbooks”
These five Guides, which will provide SAP customers and partners with a flexible approach to build
enhanced GLN functionality, according to your individual needs, have been written to assist you in
creating enhanced GLN functionality to meet those needs.
The Guides for the enhanced GLN Table, GLN search helps and IDocs include sample code and/or
build instructions that you can use to create your own enhancements. While we have tested these
enhancements in a prototype, you need to perform testing on your own system.
These Guides are:
• Introduction to Enhanced GLN Functionality Project
• Enhanced GLN Table Technical Guide
• Enhanced GLN Table Users Guide
• Enhanced IDocs Technical Guide (enables defining GLNs for new business objects, with
determination logic, on IDocs)
• GLN Vendor and Customer Search Helps
and have been posted on the SAP Service Marketplace for Healthcare at
http://service.sap.com/healthcare-guides
SAP Support for the Global Trade
Item Number (GTIN)
What is the GTIN?
The Global Trade Item Number® (GTIN®) is an “umbrella” term that describes globally-unique GS1 identification
numbers that are used to identify products and services that are sold, delivered, and invoiced at any point in the
supply chain. GTINs are assigned by the brand owner of the product or service, and identify products as they move
through the global supply chain to the hospital or ultimate end user/customer. If a product is modified in any
significant manner along the supply chain, the party performing the modification assigns its own GTIN and GLN
(which are linked to the original GTIN and GLN for traceability)
Once the GTIN is assigned, all trading partners can use and reference the GTIN. GTINs can be encoded into various
types of GS1 bar codes and Electronic Product Codes™ (EPC) that are programmed into Radio Frequency
Identification (RFID) tags.
The GTIN is a required component of the Global Data Synchronization Network™ (GDSN™) and used in conjunction
with Global Location Numbers (GLNs) on purchase orders, delivery and payment documents, and others (see a
prioritized list of transactions on the next slide). It also has other equivalent identifiers, such as the UDI and NDC.
14-Digit Structure
• One digit representing the packaging level/unit of measure
• Twelve digits: the GS1 Company Prefix and the Item Reference assigned by your company
• Check Digit
How GTINs are Assigned: Parent/Child Relationship
The Challenge: Why GTINS are Needed
Whenever an order is placed with a supplier, the supplier requires that each order line
contain the GTIN, a globally-unique, proprietary number in the supplier’s sales system
(which is different than existing Manufacturer and Supplier Part Numbers, and vary not
only by material or service, but by unit of measure, as well). This means that:
Thousands of numbers are maintained within both suppliers’ and hospitals’ purchasing and sales
systems
Hospitals spend significant time looking-up product and service numbers before placing phone
and other manual orders
Suppliers spend significant time verifying that the customer order product and service numbers
are correct
What are GTIN Uses?
Besides serving as unique identifier for products and services, GTINs are used in conjunction with Global
Location Numbers (GLNs) to create product and service content for data pools within the Global Data
Synchronization Network (GDSN).
It is this consistency and timeliness of data (including near real-time collaboration of additions, changes,
and deletions) that is critical to the smooth functioning of the healthcare supply chain and are the
reasons for GS1 standards’ raison de être.
Example: one customer, was experiencing a 16% rejection rate of order lines due to outdated and incomplete data,
and this led to the need to carry extra inventory due to the lengthened procurement cycle, as well as extra labor for
both the hospital and the supplier to identify and correct the errors. Data synchronization would have avoided this.
Why Adopt GTIN: Usefulness
Industry-wide implementation of data standards, such as GS1, can improve supply chain
data integrity. The GS1 System enables global and unique identification of products and
locations, as well as the continuous, automatic update (i.e., synchronizing) of standardized
product and service data across all supply chain partners.
These standards provide the necessary foundation for achieving the best results when
using complementary applications like automatic data capture, e-commerce, electronic
record management, assets and equipment tracking, and traceability.
Facilitates the global flow of trade items (products and services) and associated information used in
electronic commerce
Uniquely identifies trade items at all levels of packaging (item, case, and pallet)
Allows accurate machine reading of trade items when placed in bar codes and EPCs that are
programmed into RFID tags
Delivers trade item data in a consistent format and structure
Simplifies supply chain management
Employs the globally-accepted GS1 System, whose language is standardized, understood, and used
by multiple industries
What is GTIN Compliance?
A company that is able to process, store, and communicate information about their
products with trading partners using all GTINs, whether 8, 12, 13, or 14 digits, is
considered to be GTIN-compliant. Companies become GTIN-compliant by expanding the
appropriate systems and applications to 14 digits.
This will support the GTIN on products at all levels of packaging (consumer, inner packs,
multi-packs, cases, and pallets, etc.)
It is necessary to become GTIN- compliant to take advantage of the benefits of:
EPCglobal Network™
GTIN Best Practices
GTINs are assigned to products and services, and registered with GS1
Product and service providers and data aggregators (e.g., exchanges) create “data
pools” (electronic catalogs) in the Global Data Synchronization Network (GDSN)
Healthcare provider create their own data pools and subscribe to the suppliers’ data
pools
Data maintained in suppliers’ data pools update their subscriber’ data pools
2012 GTIN Sunrise Goals
GS1
Compliance
Supplier Retailer
Standard GTINs (i.e., not GTIN batches or serialized GTINs) in ECC Procure-to-Pay Process
Flow
Purchase Order
Vendor Quotation
Sales Order
ASN
Goods Receipt
Invoice
Vendor GTIN
GTIN Mapping
Consistency check for GTINs
GTIN Processes with Specific Customer Data
GTIN Mapping
Enables the automatic substitution of a material number by the GTIN
GTIN mapping provides the flexibility of the condition technique (well-known from pricing)
Choosing the fields and specifying their combinations
Specifying the sequence of the various key combinations – e.g.:
GTIN -- this is the only mandatory field
GTIN variant type
Customer
Country
Distribution Channel
Sales Organization
Division
Using free selection fields that enable you to maintain generic condition records
As soon as determination for one condition type (in the procedure) is successful, determination stops
As soon as one access (in access sequence) is successful, determination process stops
GTIN Mapping
EAN1 – Create GTIN Mapping
EAN2 – Change GTIN Mapping
EAN3 – Display GTIN Mapping
EAN4 – Create GTIN Mapping with Template
In case multiple materials are assigned to the same GTIN (or GTIN Variants), the following attributes
must be the same:
Length
Width
Height
Volume
Net and gross weight
Unit of Measure (e.g. EA, CS ...)
GTIN CONSISTENCY CHECK
Report can be used to change the attributes of all the materials in the database with the same Global Trade Item
Number (GTIN) variant combination
Report ensures that the attributes for this GTIN are consistent
GTIN Processes with Specific Customer Data
Purpose
The GS1 GTIN compliance component covers three elementary business processes that are divided into
internal and external processes:
Ordering
Delivery
Invoicing
Process Flow
In IDocs for the following processes, a material number is determined from a GTIN and additional data,
using determination logic
Customer Inquiry – outgoing
Customer Inquiry – incoming
Customer Quotation – outgoing
Customer Quotation – incoming
Purchase Order
Order Confirmation
Shipping Notification – outgoing
Shipping Notification – incoming
Invoice
Maintains Material
Master (Additional Data
View/Units of
Measure/EAN/UCC) –
do not maintain the
Material Master
manually; use this
transaction.
Populates GTIN on
Vendor Quotation, PO,
Sales Order, Goods
Receipt, and Invoice
(see following slides)
Vendor Quotation GTIN
Purchase Order GTIN (UoM = PAC)
GTIN on Purchase Order (850) IDoc
GTIN on FAX
GTIN on Sales Order
GTIN on Outbound ASN
GTIN on Goods Receipt
GTIN on Outbound Invoice
GTIN on Inbound Invoice
GS1 Functionality in CRM
GS1 Functionality in CRM
GS1 DataMatrix
Preferred option if: EPC/RFID
GS1-128 &
Additional option
GS1 DataBar Large amount of data on
small space Not line-of-sight
Preferred options if:
Variable information at Large amount of
Package allows data
high production rates
Direct part marking
The Start, Check, and End Code are generated automatically by the Label Toolbox.
The only things that the user has control over are the FNC, the application identifier, and
the 5-digit ZIP code that follows it.
The FNC character is always ASCII code 202, which corresponds to FNC1 with the
attached font (the Label Toolbox had used a different Code 128 font in the past
and the FNC1 character corresponded to ASCII code 185).
Our usage is specific to the United States Postal Service, as defined at
http://pe.usps.com/text/dmm300/708.htm#1352960
As of ECC 6.0 Enhancement Pack 6, GS1-128 labels can be created and customized with
Adobe Life Cycle Designer
In previous versions, customers had to create their own labels.
This new feature enables companies to generate the label without additional
costs.
Bar Code and Label information can be found at GS1 US Healthcare at
http://www.gs1us.org/sectors/healthcare/barcoding_and_epc_rfid
Printing GS1-128 Labels
The Trading Industry requires the Shipping Process to be based on GS1 Standard to enable more
effective business processes. Finished products can be tagged with Information about Best-Before Date,
Batches, Serial Shipping Container Code, etc.
Features
Pre-definition of a GS1 Label
Generation of a GS1 Label as message of handling
unit
Automation: Printed barcode based on EAN128
Dynamic determination of EAN numbers, based on
Material Master
Processing of mixed pallets
Easy adjustment of the Label with Adobe Life Cycle
Designer
Form: CFB_V6_EAN128_FORM
2D Bar Code Examples
SAP Support for Global Data
Synchronization (GDS)
Uploading and Downloading GDSN
Data Pool Data to/from SAP
GDS Process
Maintaining Product and Service Data Integrity
in a Complex Business Network is Challenging
Complex global demand and supply networks require timely, accurate and consistent product coding
SAP
NetWeaver
GDS
Console
SAP Global
MDM Registry
ERP
Data Pool Data Pool
PI
GDSN
Hospital
or Retailer
Manufacturer,
Distributor, GPO
SAP NetWeaver MDM Global Data Synchronization:
How It Works
Extraction Enrichment Publication
Validation
SAP
NetWeaver
GDS
Console
SAP Global
MDM Registry
ERP
Data Pool Data Pool
PI
GDSN
Hospital
or Retailer
Manufacturer,
Distributor, GPO
SAP NetWeaver MDM Global Data Synchronization:
How It Works
Extraction Enrichment Publication
Validation
SAP
NetWeaver
GDS
Console
SAP Global
MDM Registry
ERP
Data Pool Data Pool
PI
GDSN
Hospital
or Retailer
Manufacturer,
Distributor, GPO
SAP NetWeaver MDM Global Data Synchronization:
How It Works
Extraction Enrichment Publication
Validation
SAP
NetWeaver
GDS
Console
SAP Global
MDM Registry
ERP
Data Pool Data Pool
PI
GDSN
Hospital
or Retailer
Manufacturer,
Distributor, GPO
SAP NetWeaver MDM Global Data Synchronization:
How It Works
Extraction Enrichment Publication
Validation
SAP
NetWeaver
GDS Subscribe and
Synchronize
Console data pools
SAP Global
MDM Registry
ERP
Data Pool Data Pool
PI
GDSN
Hospital
or Retailer
Manufacturer,
Distributor, GPO
What is Transported During the GDS Process?
The main purpose of the GDSN is the synchronization of product and service information.
A Product, in GS1‘s definition, is called a “TRADE ITEM.“
Definition:
Any item (product or service) upon which there is a need to retrieve predefined information that may
be priced, ordered, or invoiced at any point in any supply chain (GS1 definition).
A trade item is described by a number of attributes that vary, depending on the context in
- Source: GSMP
which it is used.
In GDS 2.1, the Price Management function is used to maintain and synchronize price data with retailers.
With Price Management, you can reduce the number of invoice errors by automating the process of
supplying price data.
NOTE: Price Management is not a negotiation tool, and does not replace the current negotiation
process.
A trade item to be exchanged is identified by a triple key:
GTIN (Unit of Measure, Vendor Prefix, and Product/Service) + GLN of Info Provider + Target Market
GTIN = Global Trade Item Number
Uniquely identifies a trade item
GTIN is just a new name for all EANUPC numbers
GLN = Global Location Number of the Information Provider
Uniquely identifies a source trading partner in the GDSN
Target Market for which region the trade item is intended
SAP ERP Attributes for GDS (others can be easily added)
What’s Needed for GDS?
Enterprise
Master Data
Management
Cloud
Business
Networks
Blog Social Networks (B2B, B2C)
Mobile
SAP MDM-GDS 2.1 Strategy
No major technical changes until the end of the next major release (GS1 /
1WorldSync)
We think about a new long-term roadmap (after 2016-2017) for SAP GDS
Patients
Patient records
Blood products
Medical waste
Growing supply complexity increases product safety
risks, while incidents have greater impact than ever
before
Authorities
R&D
Quality/
Purchasing Compliance
Production
Marketing
& Sales
Serving more patients and Rising costs and Better informed patients and
customers in more markets shrinking margins customers around the globe
Growing product and network Global sourcing and outsourced One incident can damage consumer
complexity is increasing risk and manufacturing make it difficult to trust and loss of preferred supplier
challenging traceability ensure safe products status at Retail
Traceability
“Tracing” refers to the business process of discovering and acting upon the path that a
product or other asset takes through the supply chain.
At each step in the supply network for a given product, there may be generated a physical
event, a business transaction, or both. All data may be relevant in a traceability scenario
where the business goal is to understand the “chain of custody” and what happened in the
supply network.
A trace is comprised of data that is created by multiple parties in a supply network.
In order for a trace to be understood by any party, all parties must adhere to
standards.
The GS1 System provides global standards for physical events and for business
transactions, as well as for the supporting master data
These standards support the potential implementation and use of Key Data Elements
(KDEs) and Critical Tracking Events (CTEs)
Why Traceability?
Need for Serialization – Key Issues
Standards
Patient safety
Diversions
Business issues
Authentication Pedigree
Is the EPC associated Does the unit of sale Where is the product Where was the product?
with the unit of sale have the expected and where is it (Locations &
valid? covert and/or overt headed? Custodians)
features?
Overall Mission of SAP Track & Trace
Compliance
to Product and Part instance serialization instance object identity related regulations and mandates
SAP ERP
SAP Solutions for Auto-ID & Item Serialization
Cover Solution Aspects of Supply Network
Traceability
SAP Solutions for Auto-ID and Item
Serialization
SAP Track & Trace Solution Map:
Enabling Corporate Product Traceability
Regulatory
reporting for OER
Corporate product batch Corporate item serialized product Process compliance, Asset and
genealogy and tracking of related traceability with SAP Object Transportation Tracking with
objects with SAP Global Batch Event Repository/SAP AII SAP Event Management
Traceability
2012
Advanced Capabilities Product Genealogy RCS for Regulatory
for SCE (SAP EM) (SAP GBT) Reporting (SAP OER)
• Geo Tracking and Usability • Graphically explore a cross- • Creation, transfer, and
• Content for booking-based system batch relation acknowledgement of
container tracking, door-to- network for root cause notifications to authorities
door shipments and analysis and immediate for regulatory compliance
instructions reporting based on serialized
• Comprehensive tracing of processes
batch-managed products and
components
SAP Solutions for Auto-ID and Item Serialization
Product Electronic
Returnable Parts
tracking Promotion proof
transport Assembly
and management of delivery
items Tracking
authentication (EPOD)
Auto-ID repository
Legacy Event management analytics
Process Security services
integration (PI)
Trading Partners
Configurable Processes
Auto-ID Enabled Returns Processing
Auto-ID Enabled Production Order
Cool Chain Monitoring
Customizable Processes
You can use the SAP Solutions for Auto-ID & item serialization to
customize and integrate additional Auto-ID enabled business processes
and also connect to legacy system
Manufacturer (1/5)
Manufacturer
6x 12x
© SAP 2008
2007 / Page 157
Customs (2/5)
Customs
© SAP 2008
2007 / Page 158
Wholesale Distributor (3/5)
Wholesale
Distributor
© SAP 2008
2007 / Page 159
Hospital (4/5)
Hospital
© SAP 2008
2007 / Page 160
Hospital - Patient (4/5)
Patient
Manufacturer: Bayer
and verify the authenticity of goods. Product: Voltaren
GTIN: 00370001122334
Lot: A255ZT98
Expiry Date: 20151017
EPC:01.000A89.00016F.000169DC0
Status: Known
© SAP 2008
2007 / Page 162
SAP Object Event Repository
Extended Product Safety and Stewardship
Holistic and Integrated Support by SAP Applications
HR PP QM MM SD
Need a standards-based
Product Need a way to track a product as Industry
mechanism for sharing data for
serialization it moves through the supply chain
SAP Object Event multiple use cases
Standard
Repository
Data capture Need a way to store and manage (SAP OER) Need a way to share data with
Secure data
& millions of transactions acquired trading partners to identify
exchange
repository by tracking product movements business value
After-Sales Services
Capability to deliver Service
Distributor
Wholesaler Patient
Logistics Service Provider Safety is enhanced by
Automates processes and
Hospital reduced risk of
authenticates goods medication errors and
Packaging hierarchy changes Tracking of supplies, medications (even in unit doses), devices, and
counterfeits
equipment
Tracking of patients, assets, blood samples …
Patient / drug matching * PTA Product Tracking & Authentication
** OER Object Event Repository
Facilitated recall and returns
Secure Supply Network Traceability with GS1
EPCIS and SAP Object Event Repository
SAP Solution
SAP Differentiators
Suppliers
Retailers 3 PLs
Non-SAP
system Subcontractors
SAP GS1 OER Extension: SAP Event Management
Actual events
Unexpected event
Expected events
process milestones
Visibility Processes in SAP Event Management
New archiving features in SAP Auto-ID Infrastructure and SAP Object Event Repository
AII: Archiving Kanban and objects without actions data with read access
OER: Additional capability to define archiving sequences and access archived data from the Web Interface
Business Intelligence – Reports with SAP AII
Business Monitoring & Reporting
Stock Situation at Different Locations
Movements across Locations
Movements at Location by Action Type
Cycle Time across Locations
Current State of RTI Objects
Movements at Location
Show processing durations at a location
Proof of Receipt
Check whether an object was received at any other subsequent location
Authentication / ePedigree
Pharmaceutical Drug Pedigree
Definition:
A drug pedigree is a statement of origin that identifies transfer of ownership for
each prior sale, purchase, or trade of a drug, including the date of those
transactions and the names and addresses of all parties to them.
© SAP 2008 /
ePedigree Key Terms to Know
Serialization
1D
RFID
Pedigree 2D
© SAP 2008 /
Page 183
California ePedigree Requirements
For each RxDrug sold within the California supply chain, there
are three main components:
1. All RxDrug products must be serialized with a unique serial number
at an item level.
2. An ePedigree record (electronically signed) must be passed from
manufacturer to wholesaler to dispensing entity.
2017: 100%
© SAP 2008 /
Food Safety Modernization Act
The FDA Food Safety Modernization Act (FSMA), was signed into law on January 4, 2011. It aims to ensure that the U.S.
food supply is safe by shifting the focus from responding to contamination to preventing it.
This act gives FDA new and enhanced mandates and authorities to protect consumers and promote public health.
Records access: FDA will have access to records, including industry food safety plans and the records firms will be required to keep
documenting implementation of their plans.
Product Tracing: The U.S. Food and Drug Administration announced Sept. 7, 2011, that the Institute of Food Technologists (IFT) will carry-
out two new pilot projects, one for processed foods and one for produce, at the direction of FDA to explore and demonstrate methods for
rapid and effective tracking and tracing of food, including types of data that are useful for tracing, ways to connect the various points in the
supply chain, and how quickly data can be made available to the FDA. The pilots are required, as is the FDA’s establishment of
recordkeeping requirements for high-risk foods to help in tracing products
After the pilots are completed and additional data are gathered, the FDA will initiate rulemaking on recordkeeping requirements for high-
risk foods to facilitate tracing
Registration: domestic and foreign facilities that manufacture, process, pack or hold food for human or animal consumption in the U.S.
must register with the FDA
About 48 million people (1 in 6 Americans) get sick, 128,000 are hospitalized, and 3,000 die each year from
foodborne diseases, according to recent data from the Centers for Disease Control and Prevention
© SAP 2008 /
SAP Solution for Serialization & ePedigree
OER EPCIS
Events
E-Pedigree Provider
SAP PI Pedigree
Trading
Partners
Plant Warehouse
Device Mgmt Device Mgmt
WMS
Manufacturing Distribution
Site Solution Site Solution
© SAP 2008 /
Authentication using GS1 EPCIS and SAP
Object Event Repository
Manufacturer
Hospital
2. Ship original item
Counterfeiter
* PTA Product Tracking & Authentication
** OER Object Event Repository
Recent customers
Number of RFID Customers by Industry [225]
Mill Products
350+
1%
Media
1%
Services Mining
3% 1%
PS Chemica
5% 11%
A&D
5% Lifesciences
Auto
5% Hi-Tech Transportation 10%
6% 7%
© SAP 2008 /
Page 188
Example: Secure Tracking and Tracing, using SAP Patient
Management and SAP Solution for Auto-ID & Item Serialization
Mildred
Parker - Nurse
Rebecca Hansen –
Pharmacist
© SAP 2008 /
Novartis Focuses on Product Authentication
and Traceability
SAP Ramp-up Program Helps Firm Take Lead in
Defining Serialization Standards for Industry
Closed-Loop Medication
Management
“Organizations use an integrated, electronic process from order to dispense for all
medication to eliminate errors in prescribing, transcription, dispensing, and
administration.”
Impact of Current Medication Administration
Processes on Patient Safety
© SAP 2008 /
Where Do Med Errors Occur?
© SAP 2008 /
Types of Medication Errors
In this list of errors several have the potential to cause serious harm to a patient, others while in and of themselves
are errors, may not cause harm.
For example, a medication given at the wrong time, that is outside of the times specified by the medication order’s
frequency and schedule. These “wrong time” errors can be masked in a manual process; however, with a schedule
range set by a barcode-assisted administration system, these types of errors are identified each time.
Closed-Loop Medication Management
Reducing Medication Errors and
Adverse Drug Events, thus improving
medication safety
Better documentation of drug orders
Better administration (before, during, and
after patient stay),
Tracking errors retrospectively,
Predicting errors,
Capturing interventions against errors.
Ensuring the “five rights” of medication administration:
the right patient
the right drug
the right dose
the right route
the right time
Workflow transformation: eliminate error-prone steps in the process
Closed-Loop Medication Management
The Challenge
Improve the efficiency and effectiveness of the medication management process.
The Approach
Standardize the process
Reduce process variation
Eliminate unnecessary steps (waste) > Six Sigma, LEAN
Reduce opportunity for error
Measure results
The Tools
Process redesign
Cultural change management
Technology
© SAP 2008 /
Closed-Loop Medication Management:
Key Components
CPOE and/or
e-prescribing
Medication orders pass CDS and
flow to Pharmacy
and/or Ward
eMAR
Update and availability for Pharmacy /
review, override management Nurse
and future CDSS interactions Validation of order
and dispensing
of Unit Doses
(e.g. by ADM) with bar code or
complete prescription information
NB: compounded vs. packaged med
ADM
Optional
POC Administration
Secure identification of nurse,
patient and medication at POC by
bar code scanning or RFID
POC registration in eMAR
dual signature for critical meds
Closed-Loop Medication Management: Stage 5
80-90% of major IT projects fail to achieve their human and technical objectives on time
and within budget.
90% of project failures are due to neglecting the human factors of the project.
Achieving Maximum Value from IS.
D. Remeni, M. Sherwood-Smith, T. White 1997
Importance of Process: Developing Standard Work
with LEAN Principles
Traditional ROI has cash implications and can mislead an organization into believing that returning $$ to the bottom line is the
strongest objective. The Balanced Scorecard approach includes cost savings, but focuses on other strategic objectives, such as quality.
The 4 quadrants of the balanced scorecard start with what your value is and the strategic success factors defined by your organization
– e.g.,
Medication errors at administration -- costs associated with each ADE is $4,685 per occurrence (credit in notes)
Compliance with the 5 rights
Time savings in the administration process
Ordering: Error Reduction
Key Considerations
Standardized pre-printed order forms.
Approved protocols.
Policies limiting verbal orders – requiring read-back.
Computerized Prescriber Order Entry (CPOE)
CPOE Order Set and Guideline Approval
Advantages and Benefits Realized
Requirements
Worklist charting capability that supports BCMC.
Radio frequency capability.
Barcoded wristbands for patients.
Barcodes on nursing badges.
A non-punitive error reporting system.
Utilize error reports to foster Continuous
In adding BCMC to the medication management process, additional cultural
change, process and technology changes had to be addressed. These issues were
vital to success.
Objectives and Benefits
Johns Hopkins consists of two parent corporations with subsidiaries – Johns Hopkins
University and Johns Hopkins Health System (JHHS). A virtual entity, Johns Hopkins
Medicine (JHM), consists of JHHS and the School of Medicine.
SAP History
Live since January 1, 2007. Upgrade went live May 18, 2010.
Johns Hopkins uses GHX for much of the PO and Invoice transmissions*. Currently,
28 vendors receive the Johns Hopkins’ GLN; 10 use the GLN exclusively.
Only Delivery Addresses are set-up with GLNs at this time. Invoice addresses,
Purchasing Department address do not have associated GLNs.
GS1 at Johns Hopkins – GTINs
GS1 at Johns Hopkins – GTINs
Johns Hopkins has created a “holding table” for material GTIN information. This
information has not yet been imported to the Johns Hopkins Material Master
records.
GS1 at Johns Hopkins – GTINs
St. Jude and other clinical vendors are heading in various directions!
GS1 at Johns Hopkins – Where we’re headed…
3-5 years
“Walk before you can run” -- start small, conduct pilot projects, and learn by doing
©
SAP
Thank you! 2008
/
Page
245
Contact
1.Establish Executive Support: inform and educate executive management on standards adoption and
the need for organization-wide implementation, and to obtain executive approval to proceed with
GLN implementation
2.Form a GLN Management Advisory Group: establish an Advisory Group. Formation of a cross-
functional Group including members outside of supply chain functions promotes buy-in, supports
communication efforts, and ensures proper input from the areas most impacted by implementation
3.Determine whether a GLN Registry Exists in your Country: there must be one person (i.e., the
Primary Point of Contact) that has the primary responsibility to build and load the hierarchy in the
GLN Registry. Contact your local GS1 Member Organisation to determine whether a national GLN
registry exists
4.Develop & Initiate Project Communication: inform your community of your commitment to GLN
implementation. Utilize internal communication tools such as newsletters and intranet to introduce
the concept and benefits of the GLN, and the GLN Registry for Healthcare if it exists, to your
company, and external communication tools like websites and corporate letters for your customers
and suppliers.
5.Initiate Education for the Advisory Group & Operational Team: educate company participants. A
base level of knowledge about GLNs, the GLN Registry, GS1 Healthcare, and GS1 standards is
necessary for all active participants
GS1 Standards: Implementing GLNs (2/3)
6.Assess Information System Issues & Make Necessary Changes: evaluate the readiness of your
information systems, and make the appropriate system changes required to accommodate the use of
GLN. The capability of your information system to contain and utilize GLN numbers must be assessed,
and the necessary changes made. The necessity of parallel files between the old location numbers
and GLNs must be discussed.
7.Identify/Allocate Your GLNs: allocate your GLNs. In this effort, you must consider your company’s
GLN strategy and current customer requirements and then align the two. Specifically, you must
determine:
8.Whether your company will allocate GLNs to the main corporate address only, or also to divisions,
departments, receiving locations, etc.
9.How your organisation will manage the issuing / allocation of GLNs and associated record keeping,
i.e., will these two functions be undertaken by a central entity within the organisation, in a
distributed manner by different regional branches or in a hybrid model
10. Establish Implementation Strategy: establish a GLN utilisation strategy and corresponding
hierarchal organisational chart (e.g., warehouse system hierarchy; divisional hierarchy; etc.). The
establishment of your organisation’s GLN hierarchy is a critical step in the implementation process.
It is necessary to consider not only how business is currently conducted, but also future business
processes and supply system possibilities.
GS1 Standards: Implementing GLNs (3/3)
11. Build Your GLN Database: build an internal database to house GLNs and to enter the company GLNs
into the GLN Registry if applicable. Specific information for each location that has been identified
for enumeration must be gathered for this effort.
12. Engage Customer & Supplier Involvement: prepare your customers or suppliers community and
identify partner(s) for testing. This is the most important step in this process. Collaboration and
communication with your customers and suppliers is critical to implementation success
13. Conduct Transactional Testing With Customers & Suppliers: successfully exchange purchase
transactions with your customers and suppliers. At this point, you are ready to conduct
transactional tests. The testing process will provide validation of the initial hierarchy, information
system capabilities and operational impact.
14. Make Adjustments to Initial GLN Hierarchy & Implementation Plan: keep the hierarchy consistent
with your company’s business model and to ensure that it remains accurate in order to obtain
maximum benefit and to ensure accurate delivery locations. This is an iterative process based on
your transactional testing with customers and suppliers
15. Create Standard Operating Procedures: document standard operating procedures and obtain sign
off, both internally and externally. Following testing and the implementation of the necessary
adjustments, it is necessary to prepare standard operating procedures for internal and external
staff. The Advisory Group and Operational Team should be heavily involved in this process.
Premier GLN Transaction Program
Launched in mid‐2009 to outline the process for GLN implementation for its member hospitals.
Objectives
Better understand the use of GLN Registry for Healthcare®
Identify the steps to GLN implementation
Identify challenges in implementation Trading Partner Selection
Share lessons learned Providers: Start by pairing-up with one or more Suppliers that meet requirements
Suppliers: start by pairing-up with one or more Providers that meet requirements
Project Milestones and Action Items GLN Synchronization
Providers: Your GLN Hierarchy already has been set-up in the GS1 US GLN Registry for
Healthcare®. Validate that the locations are correct, and then share your primary Ship-to GLNs
with your Supplier Partner(s).
Suppliers: there is no need to enumerate your company at this time, though it is recommended.
You will receive the Primary Ship-to GLNs from your Provider Partner(s) and confirm that they
match-up to your current Ship-to Accounts for them.
System Integration
Providers: Your validated GLNs now need to be uploaded to your MMIS. You may either load
all GLNs or limit yourself to just those GLNs tied to your old Account Numbers. In preparation
for transactions, you will need to ensure that the GLN is included on the PO. It is recommended
to first test in a Development environment. If applicable, confirm that your Exchange is ready to
receive and transmit your orders.
Suppliers: Ship To GLNs for your Provider Partner should be uploaded to your fulfillment
system. Your system will need to be able to receive a PO with the GLN and recognize that GLN
as the correct customer and Ship To. It is recommended to first test in a Development
environment. You may need to coordinate with your Exchange to confirm how the GLN will
appear in the orders they forward to you.
Transact Purchase Orders
Providers: Begin sending POs to your Supplier partner(s) in your Test, then Production,
environments
Suppliers: Begin sending POs to your Provider partner(s) in your Test, then Production,
environments
Lessons Learned Document
Providers and Suppliers: Document lessons learned and cost savings/avoidance
Premier GLN Transaction Program:
Key Experience Takeaways and Prep Benefits
Key Takeaways
Take control and clean-up your hierarchy in the GLN Registry for Healthcare® as early in the process
as you can.
Communicate and plan with your vendor partners frequently during the process.
It is better to try things on a smaller scale and grow from there.
Make sure that your roster update process is robust and include the GLN on all RFPs to accelerate
adoption.
Wait until you have a good understanding of GLNs and the hierarchy before assigning GLNs to every
delivery location.
Work with your suppliers, your MMIS/ERP vendor and your e‐commerce/exchange provider as early
as possible to ensure that your system and partners are ready to conduct transactions.
As a service to its members, Premier has allocated GLNs to providers, including all owned facilities and
affiliates. There are more than 70,000 locations registered to Premier providers in the Registry. As a
result of this effort, the hierarchy used in the Registry matches the structure used in the Premier
member roster
Premier’s official GLN hierarchy for all members and associated addresses:
Level One is the Main Parent, the location that actively receives products or the corporate entity used in Premier
records.
Level Two is any entity that reports directly to the Main Parent.
Level Three is other buildings and/or the subordinate departments of Level Two.
Level Four is an additional level that can be used for desktop delivery or Just-in-Time (“JIT”) locations.
GS1 Standards: Implementation (Premier
Example) -- Steps to GLN Implementation
1. Reconcile with GPO Roster: although Premier had registered GLNs on behalf of its membership, provider
participants found that the information housed in the Registry was not always consistent with how they
themselves would ascribe GLNs for their organization. Providers worked to cleanse and reconcile the information
in the Registry – either directly with the Registry or with Premier.
Providers in this program reported that this process took approximately five to eight hours. “You should cleanse
your location data before you build your GLN hierarchy. No one knows your hospital system like you do, so make
sure your GPO and the GLN Registry are in sync with how you want your organizational structure to look like,
and have them make corrections if needed.”
2. Take maintenance control of Registry information: As hospitals open and close, new affiliations are added or
offices move, GLNs will need to be updated. Participants recommended that someone on staff be assigned to
either work with the GPO to keep the Registry and GPO Roster information up to date and current, or
self‐maintain the information work.
3. Establish proper GLN hierarchy strategy: Once you have accurate GLNs assigned at the highest levels (parent
location), you’ll need to establish the proper hierarchy of locations in the Registry, including affiliated clinics,
laboratories and other facilities. Keep in mind, when making assignments, that GLNs can be used for many
business purposes, including, but not limited to: GPO rostering, distributor sales tracings and ecommerce
transactions.
4. Communicate with your GPO and those organizations enabling your e‐commerce transactions to make sure
your GLN hierarchy is in alignment across all parties: This is an important step to ensure that GPO reporting is
accurate, rebates are sent to the correct facility at the correct time, and orders sent via electronic commerce have
accurate information for shipping and other supply chain requirements.
GS1 Standards: Implementation (Premier
Example) -- Steps to GLN Implementation
5. Cleanse and reconcile your “ship‐to” locations: Early coordination with your trading partners and
e‐commerce/exchange provider is critical to this process. Without proper coordination between all parties in the
transaction process, your transactions could fail.
Select supportive supplier partners who are ready to meet your GLN needs. Review your “ship‐to” locations with
participating suppliers to ensure GLNs in the suppliers’ systems are appropriately mapped to the existing
supplier‐assigned account numbers for those “ship‐to” locations.
6. Upload GLN to your MMIS or ERP system
7. Begin transacting using GLN: Understand the method by which your supplier conducts e‐commerce and how it
works with your system before you begin transacting with the GLN. There is no “one size fits all” approach
8. Identify challenges and establish work-around solutions, when appropriate: Participants experienced challenges
in two main areas: systems which required upgrades or patches to allow the use of GLNs in EDI, and the need for
dedication and close communication among all parties involved in transacting purchase orders: provider, supplier,
MMIS vendor and e‐commerce/exchange provider.
Barriers not encountered, but considered possible by participants, included lack of available resources to
support upfront time involved in cleansing and reconciling account information with GPO or supplier or MMIS
vendor, e‐commerce/exchange provider partners.
9. Stay involved and contribute to the growing healthcare GLN knowledge bank: Take advantage of existing
resources, including educational programs and materials from organizations such as your GPO, your MMIS/ERP
Vendor, your ecommerce/exchange provider, GS1 Healthcare US, and industry organizations, such as AHRMM,
SMI, and MDSCC
Premier GLN Transaction Program:
Lessons learned from Phase 1
Preparing to implement the GLN can be done right now and in short order, with immediate benefits ‐‐
regardless of other implementation challenges that may exist. By doing so, the mystique involved with
GLNs will become manageable
Participants identified several steps of GLN implementation that were consistent across the board, and
that are detailed in the program summary.
• Reconciliation with GPO Roster.
• Establishing maintenance control of Registry information.
• Establishing proper GLN hierarchy strategy.
• Communications with GPO to align GLN hierarchy.
• Cleansing and reconciliation of “ship‐to” locations with suppliers & exchange providers.
• Uploading of GLN to provider information systems; make necessary changes to enable EDI
transactions to include GLNs and replace custom numbers.
• Begin transacting using GLN.
• Identifying challenges and establishing work around solutions when appropriate
• Staying involved
Participants agreed that implementing the GLN is completely achievable within a reasonable
timeframe.
Participants found that the work required to support GLN implementation is largely front‐loaded.
Premier GLN Transaction Program:
Lessons learned from Phase 1 (cont’d)
All participants felt that providers should start small and basic -- work on Level 1 in the GLN
Registry (parent organizations) and establish the correct “ship‐to” locations.
Providers agreed that establishing a process for maintaining GLN information in the
Registry is extremely important.
Providers felt that selecting a strong, customer‐oriented supplier partner for the initial GLN
implementation is important – “we’re all in this together”
Participants felt strongly that hospitals should drive GLN implementation with supplier
partners. In most cases, suppliers will comply with customer requests and collaborate to
figure out how to overcome implementation challenges.
Providers felt that the exercise in preparing for GLN implementation was valuable and
important, and overwhelmingly felt that they “were ready to go.”
All participants felt that providers should get started with GLN implementation right away,
and, by doing so, the mystique involved with GLNs will become manageable.
Participants agreed that implementation can and should occur in a phased approach.
Stay educated and get involved in GS1 Healthcare workgroups
A Kraft document “Kraft Foods Best Practices for GS1 Company Prefixes” can be found here.
Premier GLN Transaction Program:
Lessons learned from Phase 2
In Wave Two of the Premier GLN Transaction Program, member organizations and supplier partners
were put together in 14 “pairings” to implement GLN and advance industry knowledge of the challenges
and opportunities related to GLN adoption. Participants from all sides of the supply chain – group
purchasing organization, provider, manufacturer, distributor, MMIS/ERP vendor and EDI exchange
provider.
As in Wave One, participants felt that even in circumstances where transactions did not take place,
they had become better prepared through the participation experience.
Participants agreed that GLN adoption is at an early stage, and there is no clear “GLN implementation
template” that can currently be leveraged completely across the board. Experiences like Premier’s
GLN Transaction Program, according to participants, are helping in bringing the right parties to the
table to drive industry momentum for GLN implementation
It is essential that the GLNs enumerated and used by the healthcare provider are displayed accurately
on the GPO roster and are the same ones utilized by the distributor, supplier, and any exchange
partner or third‐party company that will handle the transaction data between the trading partners.
Ship-to locations, in particular, must be cleansed and reconciled with suppliers, including distributors and
manufacturers with which you have direct trading relationships and with exchange providers that facilitate EDI
transactions.
It is essential that trading partners agree on common process rules and timing when changing, adding
or modifying locations using GLNs.
Understand your MMIS system capabilities, as well as process protocols established by trading
exchanges (e.g., GHX).
Significantly Reduce Manual Steps in Data Creation
and Communication
Embedding of MDM Workflow
Different triggers available: Import, New Trade Item, Item Modification, Automation Process,
Unprocessed Messages (Registration, Publication, Link and Import Error), Manually
Standard Workflows for each Trigger are part of the delivery
Workflows can be extended or completely new created*
Actions available: Create, Start, Cancel, Next Step, Repeat Step, Reassign
Approval Step Feature
Automation of the following processes
Validation of trade items in inbound process
Registration of successfully validated trade items
Correction of modified trade items, that have already been published
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Placeholder WF Screenshot
Limit Access and Focus Users on What Really Matters
Granular authorization concept to better embed work into existing roles and focus on
specific tasks
SAP AII
SAP AII
SAP NetWeaver Process Integration (PI)
SAP ERP SAP ERP SAP ERP SAP ERP Non-SAP Non-SAP
SAP OER Item Tracking
on
tracked items via freely
configurable selection
profile
to
actual status of serialized
products all across the
globe
-
SAP OER stores
hierarchies between
objects along their entire
lifecycle
SAP Product Tracking and Authentication
EPC number is
authenticated against Tag
ID and/or other
configurable attributes
that are known in the
repository
Usage of Fixed RFID Readers and Forklift and Location
Identification
Example Usage of Fixed Gate Readers Warehouse Bin
Location Identification
Unload Readpoint with Passive RFID Tags