Gln Implementation

8/2/2019 Gln Implementation

1/20

Premier GLN Transaction Program

Global Location Number ImplementationOn your way to better supply chain interactions

Lessons from Phase 1


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ExecutiveSummary

Reliableinformationaboutdeliverylocationis

essentialforproperdeliveryoftheright

healthcareproducttotherightlocation,avital

componentinensuringpatientsafety.TheU.S.

healthcareindustryhasdeclaredstandardsfrom

GS1asitschoicefordescribingbasicinformation

neededtoimprovepatientsafety,reducecosts

andenableanefficientsupplychain,establishing

anadoptiondateofDec.31,2010fortheGS1

GlobalLocationNumber(GLN)

The

Premier

healthcare

alliances

Purchasing

PartnersdivisionendorsedtheGS1systemof

datastandardsandhasdevelopedprogramsto

helpitsprovidermembersandcontracted

suppliersimplementandtransactusingthese

standardsinpreparationfortheindustry

establishedadoptionsunrisedates.Inmid2009

PremierlaunchedtheGLNTransactionProgram

inanefforttooutlinetheprocessforGLN

implementationforitsmemberhospitals.

TheobjectivesofthePremierGLNTransaction

Programwereto:

BetterunderstandtheuseofGLNRegistryforHealthcare

IdentifythestepstoGLNimplementation Identifychallengesinimplementation SharelessonslearnedParticipants

Inthe

program,

early

adopter

provider

organizationswerepairedwithsupplierpartners

todiscoveranddocumentthestepsnecessary

forsuccessfulGLNimplementation.Participants

inthefirstphasewere:

GeisingerHealthSystemandMedlineIndustries

AuroraHealthCareandBaxterInternational MissionHospitalandOwens&MinorParticipants

shared

their

experiences

and

lessons

theylearnedwithothersinordertoaccelerate

GLNadoptionbythehealthcareindustryasa

whole.

LessonsfromPhase1,PremierGLNTransaction

Program

Premierheldtheprogramkickoffwithaweb

basedmeetinginMay2009,andthefirstGLN

transactiontookplaceinAugust2009.

Participants

determined

that

preparing

to

implementtheGLNcanbedonerightnowandin

shortorder,withimmediatebenefits

regardlessofotherimplementationchallenges

thatmayexist.

ParticipantsidentifiedseveralstepsofGLN

implementationthatwereconsistentacrossthe

board,andthataredetailedintheprogram

summary.Theyinclude:

1. ReconciliationwithGPORoster.2. EstablishingmaintenancecontrolofRegistry

information.

3. EstablishingproperGLNhierarchystrategy.4. CommunicationswithGPOtoalignGLN

hierarchy.

5. Cleansingandreconciliationofshiptolocationswithsuppliers&exchange

providers.

6. UploadingofGLNtoproviderinformationsystems;

make

necessary

changes

to

enable

EDItransactionstoincludeGLNsandreplace

customnumbers.

7. BegintransactingusingGLN.8. Identifyingchallengesandestablishingwork

aroundsolutionswhenappropriate.

9. Stayinginvolved.

Global Location Number Implementation


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Amongtheoveralllessonslearned:

ParticipantsagreedthatimplementingtheGLNiscompletelyachievablewithin

areasonable

timeframe.

ParticipantsfoundthattheworkrequiredtosupportGLN

implementationislargelyfrontloaded.

AllparticipantsfeltthatprovidersshouldstartsmallandbasicworkonLevel1in

theGLNRegistry(parentorganizations)

andestablishthecorrectshipto

locations.

ProvidersalsoagreedthatestablishingaprocessformaintainingGLN

informationintheRegistryisextremely

important.

Providersalsofeltthatselectingastrong,customerorientedsupplier

partnerfortheinitialGLN

implementationisimportant.

ParticipantsfeltstronglythathospitalsshoulddriveGLNimplementationwith

supplierpartners.

ProvidersfeltthattheexerciseinpreparingforGLNimplementationwas

valuableandimportant,and

overwhelminglyfeltthattheywere

readytogo.

AllparticipantsfeltthatprovidersshouldgetstartedwithGLNimplementation

rightaway,and,bydoingso,the

mystiqueinvolvedwithGLNswill

becomemanageable.

Participantsagreedthatimplementationcanandshouldoccurinaphased

approach.

StayeducatedandgetinvolvedinGS1HealthcareUSGLNworkgroupsor

Premierworkgroups.

Conclusion

Premiermemberhospitalsandcontractedsuppliersinvolvedintheinitialphaseofthe

PremierGLNTransactionProgramwillcontinuetobuildupontheexperiencesandlessons

learned.PremierisexpandingitsGLNTransactionProgramtoincludeadditionalmember

andsupplierpartnerpairings. Healthcareprovidersandsuppliersshouldbeginpreparingfor

the2010GLNSunrisenow.


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Introduction

Manylargeindustries,includingtheretail,

groceryandmassmerchandiseindustries,have

beenusingGS1datastandardsforidentifying

locationsandproductsintheirtransactionsfor

severalyears,and,asaresult,haverealized

significantoperationalefficienciesintheirsupply

chains. TheU.S.healthcareindustryhas

declaredstandardsfromGS1asitschoicefor

describingbasic

information

needed

to

improve

patientsafety,reducecostsandenablean

efficientsupplychain,andhasthusestablished

adoptiondatesofDec.31,2010fortheGS1

GlobalLocationNumber(GLN)andDec.31,

2012fortheGS1GlobalTradeItemNumber

(GTIN).

ThePremierhealthcarealliancesPurchasing

PartnersdivisionhasalsoendorsedtheGS1

Systemof

data

standards,

and

has

developed

programstohelpitsmembersimplementand

transactusingthesestandardsinpreparationfor

theindustryestablishedadoptionsunrisedates.

WithGLNfirstonthehorizon,inmid2009

PremierlaunchedtheGLNTransactionProgram

inanefforttooutlinetheprocessforGLN

implementationforitsmemberhospitals. The

GLNisagloballyrecognizedidentification

numberusedintheGS1Systemtoidentifylegal

entities,trading

partners

and

customer

locations

inelectroniccommerceactivities. Inthe

program,earlyadopterproviderorganizations

werepairedwithsupplierpartnerstodiscover

anddocumentthestepsnecessaryforsuccessful

GLNimplementation. Participantsthenshared

theirexperiencesandlessonstheylearnedwith

othersinordertoaccelerateGLNadoptionby

thehealthcareindustryasawhole. Participants

determinedthatpreparingtoimplementthe

GLNcanbedonerightnowandinshortorder,

withimmediatebenefits regardlessofother

implementationchallengesthatmayexist.

Background

Reliableinformationaboutdeliverylocationis

essentialfor

proper

delivery

of

the

right

product

totherightlocation,whichisavitalcomponent

inensuringpatientsafety. Electronicmedical

records,automatedorderingsystemsandother

healthcareITsystemsallrequirereliablelocation

identificationandinformationtoimprove

patientsafetyandsupportpatientcare.

Lessons from Phase 1Premier GLN Transaction Program

2010GLNSunrise

Thegoal

of

the

2010

GLN

Sunrise

is

to

use

standardizedlocationidentification(GLNs)

byDecember2010,whichmeans:

GLNsareassignedbylocationowners. GLNsareusedinappropriatebusiness

transactionsandprocessesbetween

tradingpartners.

GLNhierarchyisdefinedandmaintainedbylocationowners.

GLNRegistryforHealthcareisusedtofacilitatecorrectlocationidentification.

Formoreinformationabouttheindustry

sunrisedatesforboththeGLNandGTIN,go

towww.gs1us.org/hcsunrise.


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Accuratelocationinformationisanecessityfor

allsupplychainpartners,includinggroup

purchasingorganizations(GPOs).Ifahealthcare

organizationisassociatedwithaGPO,itiscrucial

thattheGPOsrosterofhospitalscontainsallof

thenecessary

location

information

in

order

to

ensurethataccurate,consistentlocation

informationisbeingsenttodistributorsand

manufacturers. GPOsmayalsoencounter

problemsinmanaginglocationinformationin

theirrosterofhospitals.Forexample,their

rostermaynotreflectthedifferencebetween

corporateidentityandphysicallocation.In

addition,itmaynothavepreciselocation

informationforeachofthevarioushospitals

affiliatedwith

the

healthcare

parent

organizationorforeachofthevarious

departmentswithinahospital.Iftherosterisnot

accurate,ahospitalmaymistakenlyreceive

rebatesmeantforother,similarlynamed

facilitiesorrebatesmaybeappliedtothe

incorrectreceivinglocationwithinthehospital.

Asaresult,rebatesandclaimscanbedelayedor

evenlost.

Althoughhealthcare

constituents

across

the

supplychainhavecreatedtheirownproprietary

numberingsystem[s]inanefforttosolvesome

oftheseproblems,doingsocreatednew

problems. Somanylocationnumbersystems

werecreatedthatmaintainingallofthevarious

numbersbecamedifficulttomanage. In

addition,providersnowhadtocreateand

managemapsbetweenallofthevariouslocation

identificationnumbersintheirsystems. Theend

resulthas

been

an

error

prone,

inefficient

approachtolocationidentificationthathasdone

littletopromotepatientsafetyanddrivesupply

chainefficiencies.

Overthepastfouryears,numeroushealthcare

organizations,includingproviders,GPOsand

industryassociations,havecalledforindustry

implementationofacommon,universaland

globalsetofdatastandardsforlocationand

productidentification,aswellasasystemto

synchronizethisdata. Inaddition,withthe

passageoflegislationinthefallof2007,theU.S.

Congressmandated

the

use

of

aunique

device

identificationsystem

AdvantagesoftheGlobalLocationNumbers

Without a standardized approach, supply

chain partners often assign their own

proprietary location identification numbers

resulting in numerous numbers to manage

andmaintain

for

the

same

location,

creating

inefficiencies and confusion related to

party/location information in the supply

chain. The use of GLNs avoids those

problems and provides companies and

healthcare organizations with a method of

identifyinglocationsthatis:

Simple:aneasilydefineddatastructurewithintegritycheckingthatfacilitates

processingandtransmissionofdata.

Unique:

GLNs

are

globally

unique.

Multisectoral:thenonsignificantcharacteristicoftheGLNallowsany

locationtobeidentifiedforanycompany

andorganizationregardlessofitsactivity

anywhereintheworld.

Global:implementedaroundtheworldandsupportedbyGS1USandthe

internationalnetworkofotherGS1

MemberOrganizations,coveringmore

than100

countries,

in

the

local

language.

For more information and details on GLN

benefits to providers or suppliers, see the

GLN Tool Kits published by GS1 Healthcare

US,at: www.gs1us.org/healthcare.


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Ongoingindustrypilotprogramsareshowing

thatsuccessfuladoptionofthethreeGs

GLN,GTINandtheGlobalDataSynchronization

Network(GDSN) isachievableinthenear

termwiththepotentialforimmediatevalue.

Manyprovider

organizations

are

also

requiring

theirmanufacturerpartnerstoincorporatethese

identificationstandardsinordertosecure

contracts.

PremierannouncedinJulyof2008thatsuppliers

thatsignitsnationalcontractsmustadoptGS1

standardswithinfiveyears,startingfirstwiththe

GLNin2010. Premierdecidedtoissuethis

requirementbasedonyearsofinputfrom

memberhospitals

and

its

own

participation

in

industrystandardsefforts. Premieralsoissued

therequirementinordertohelpaccelerate

industrywideimplementationofthestandards

(seetimelineandroadmapgraphics).

Asanationalhealthalliance,Premierbelievesit

hasasignificantroletoplayintheacceleration

ofstandardsimplementation. Itbelieves

implementingthesestandardswillhelpits

memberhospitalsimprovepatientsafetyand

reducecosts. Tothatend,Premierlaunchedthe

GLNTransactionPrograminMay2009.

GLNTransactionProgram

GLNprovidesgloballyuniqueidentificationfora

functionalentity(suchasahospitalpharmacyor

accountingdepartment). Participantsinthe

PremierGLNTransactionProgramsharethe

beliefthattheGLNwillprovideanewandbetter

wayofconductingsupplychainbusiness,andare

committedtousingGLNintheirdaily

transactions.

TheobjectivesofthePremierGLNTransaction

Programwereto:

BetterunderstandtheuseofGLNRegistryforHealthcare

IdentifythestepstoGLNimplementation Identifychallengesinimplementation SharelessonslearnedThefollowingprovidersandsupplierpartners

werepaired

to

participate

in

the

Premier

GLN

TransactionProgram:

GeisingerHealthSystemandMedlineIndustries

AuroraHealthCareandBaxterInternational MissionHospitalandOwens&MinorPremierheldtheprogramkickoffwithaweb

basedmeetinginMay2009,andthefirstGLN

transactiontookplaceinAugust2009.

TheSingleSourceofTruth:

TheGS1USGLNRegistryforHealthcare

TheGLNRegistryforHealthcareisadirectory

ofhealthcareandhealthcarerelatedfacilitiesin

theU.S.,withcorrespondingGlobalLocation

Numbers(GLNs). Membersofthisregistry,

Premiersiterativeapproachtoward

comprehensivestandardsadoption:

2008Launchedoutreachandeducation

programfor

providers

and

suppliers;

modifiedcontracttoinclude

requirementsforstandards

compliance.

2009Requestedthatprovidersand

suppliersrecognizeGLNsandthatthe

suppliersbegintoregisterGTINsfor

theirproducts.

2010ChampionrecognitionanduseofGLN

byallprovidersandsuppliers.

2012

Champion

use

of

GTIN

for

all

products

fromallsuppliers,andtheuseofGTINs

byallproviders.


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whichincludehospitals,healthcare

manufacturersanddistributors,andother

interestedparties,canaccessanupdatedlistof

industrymanufacturers,distributors,retailers,

hospitals,clinicsandmailorderpharmacies,

developedto

ensure

the

accuracy

of

their

supply

chainactivities.

Asaservicetoitsmembers,Premierhas

allocatedGLNstoproviders,includingallowned

facilitiesandaffiliates. Therearemorethan

70,000locationsregisteredtoPremierproviders

intheRegistry. Asaresultofthiseffort,the

hierarchyusedintheRegistrymatchesthe

structureusedinthePremiermemberroster,

Premiersofficiallistofallmembersand

associatedaddresses. Generally:

LevelOneistheMainParent,thelocationthatactivelyreceivesproductsorthe

corporateentity

used

in

Premier

records.

LevelTwoisanyentitythatreportsdirectlytotheMainParent.

LevelThreeisotherbuildingsand/orthesubordinatedepartmentsofLevelTwo.

LevelFourisanadditionallevelthatcanbeusedfordesktopdeliveryorJustinTime

(JIT)locations.


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StepstoGLNImplementation

ThoughtheGLNimplementationexperience

differedbetweenthehospital/supplierpairings

inthePremierGLNTransactionProgram,there

wereseveralstepsthatwereconsistentforall

theparticipants:

1. ReconcilewithGPORoster.ThoughPremierhadregisteredGLNson

behalfofitsmembership,provider

participantsfoundthattheinformation

housedintheRegistrywasnotalways

consistentwithhowtheythemselveswould

ascribeGLNsfortheirorganization.

Providersworked

to

cleanse

and

reconcile

theinformationintheRegistryeither

directlywiththeRegistryorwithPremier.

TheprocessresultedinanaccurateGLNat

thehighestlevel,withthatinformation

matchingwiththePremierRoster. Providers

inthisprogramreportedthatthisprocess

tookapproximatelyfivetoeighthours.

You should cleanse your location

data before you build your GLN

hierarchy. No one knows your

hospitalsystemlikeyoudo,somake

sureyourGPOandtheGLNRegistry

areinsyncwithhowyouwantyour

organizationalstructuretolooklike,

andhave themmake corrections if

needed.

StuartWooster

AuroraHealthCare

2. TakemaintenancecontrolofRegistryinformation.

Ashospitalsopenandclose,newaffiliations

areaddedorofficesmove,GLNswillneedto

beupdated. Participantsrecommendedthat

someoneonstaffbeassignedtoeitherwork

withtheGPOtokeeptheRegistryandGPO

Rosterinformationuptodateandcurrent,

orselfmaintaintheinformation.

3. EstablishproperGLNhierarchystrategy.OnceyouhaveaccurateGLNsassignedat

thehighestlevels(parentlocation),youll

needtoestablishtheproperhierarchyof

locationsintheRegistry,includingaffiliated

clinics,laboratoriesandotherfacilities. Keep

inmind,whenmakingassignments,that

GLNscanbeusedformanybusiness

purposes,including,butnotlimitedto:GPO

rostering,distributorsalestracingsande

commercetransactions.

4. CommunicatewithyourGPOandthoseorganizationsenablingyourecommerce

transactionstomakesureyourGLN

hierarchyisinalignmentacrossallparties.

ThisisanimportantsteptoensurethatGPO

reportingisaccurate,rebatesaresenttothe

correctfacilityatthecorrecttime,and

orders

sent

via

electronic

commerce

have

accurateinformationforshippingandother

supplychainrequirements.

By using a consistent numbering

andnamingconvention,suchasthe

GLN, providers can be assured

purchases that qualify for rebates

will be accurately captured with

rebate checks going to proper

locations.

PatSmith

MissionHospitals


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5. Cleanseandreconcileyourshiptolocations.

Earlycoordinationwithyourtradingpartners

andecommerce/exchangeprovideris

criticalto

this

process.

Without

proper

coordinationbetweenallpartiesinthe

transactionprocess,yourtransactionscould

fail.

Selectsupportivesupplierpartnersthatare

readytomeetyourGLNneeds. Reviewyour

shiptolocationswithparticipating

supplierstoensureGLNsinthesuppliers

systemsareappropriatelymappedtothe

existingsupplier

assigned

account

numbers

forthoseshiptolocations.

Oncethemappinghasbeenvalidatedand

cleansed,communicatetheseshipto

locationspromptlytoyourexchange

providerwhowillhelpensurethe

appropriateregistering,mapping,andcross

referencesforaccuratetransactions.

6. UploadGLNtoyourMMISorERPsystem.YourMMISorERPsystemmayrequirean

upgradeorpatchtoenabletheuseofGLNs

intransactions. Itishighlyrecommended

thatyouconfirmyoursystemsrequirements

withyourvendorearlyinthisprocessto

ensurethatyoureffortswillbesuccessful.

7. BegintransactingusingGLN1Understand

the

method

by

which

your

supplierconductsecommerceandhowit

workswithyoursystembeforeyoubegin

transactingwiththeGLN. Thereisnoone

sizefitsallapproach,witheach

1Duetospecificimplementationchallenges,notallpairings

wereabletoconducttransactions.

implementationparticipantswilltakelessons

learnedforthenextone.

Byworkingtogetherearlyintheprocess,

yourorganization,tradingpartners,system

vendor,and

ecommerce/exchange

provider

cantakethenecessarystepstoaccurately

representyourshiptolocationsusing

GLNs,helpingensureyourtransactions

processwithouterrorsortheneedfor

manualintervention.

Weplantokeepworkingwithour

provider customers, implementing

GLNs in a controlledmanner. We

plan to make system changes to

support the GLNfor any customer

wishing to use it, and in the

meantimearemaintainingmethods

forGLNandnonGLNcustomers.

DaveRolston

Medline

8. Identifychallengesandestablishworkaroundsolutionswhenappropriate.

Participantsexperiencedchallengesintwo

mainareas:systemswhichrequired

upgradesorpatchestoallowtheuseofGLNs

inEDI,andtheneedfordedicationandclose

communicationamongallpartiesinvolvedin

transactingpurchaseorders: provider,

supplier,MMISvendorandecommerce/

exchangeprovider. Barriersnot

encountered,butconsideredpossibleby

participants,included

lack

of

available

resourcestosupportupfronttimeinvolved

incleansingandreconcilingaccount

informationwithGPOorsupplierorMMIS

vendor,ecommerce/exchangeprovider

partners.


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While there can be challenges

alongtheway,GLNimplementation

isnotrocketscienceitonlytakesa

commitment to a better way of

doing things,opencommunications

and

support

of

your

trading

partners.

DeborahTempleton

GeisingerHealthSystem

9. StayinvolvedandcontributetothegrowinghealthcareGLNknowledgebank.

Takeadvantageofexistingresources,

includingeducationalprogramsand

materialsfromorganizationssuchasyour

GPO,your

MMIS/ERP

Vendor,

your

e

commerce/exchangeprovider,GS1

HealthcareUS,andindustryorganizations

suchasAHRMM,SMI,andMDSCC..

ContactPremier

ForquestionsrelatedtoPremiersindustrystandardsinitiatives,pleaseemail

[email protected]:

JosephPleasantSeniorVicePresidentandChiefInformationOfficer

MarlaWeigertGroupVicePresident,ContractManagementandAdministration

KarenBoswellVicePresident,DataManagement

LalitThakurDirector,MasterDataManagement

CarlGombergBusiness

Analyst,

Product

Information


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Pairing1: GeisingerHealthSystemandMedline

GeisingerHealthSystem Medline

OrganizationInformation OneofthenationslargestIDNs.

Servesmorethantwomillion

residentsincentralandNortheast

Pennsylvania. Recognizedasonthe

forefrontoftheelectronichealth

recordsinnovation.

www.geisinger.org

Nationslargestprivatelyheld

nationalmanufacturerand

distributorofhealthcare

suppliesandservices.

www.medline.com


participants

DeborahTempleton,VicePresident,

SupplyChainServices

DarrelDudeck,SupplyChainSystem

Analyst

DaveRolston,VicePresident,

eBusiness

Relevantsystems

information

Lawsonv.9.0.0.4forMMIS. Contains

functionalitythatallowsforGLNusage

SAPERP,directEDIwith

Geisinger

Transactionrelationship Transactsdirectlywithitsdistributors

andsomemed/surgmanufacturers

Geisingerusesacentralsourcingmodel,inwhich

mostofthenetworksmed/surgsuppliesare

deliveredtocentralizedlocations,andthenare

distributedinternallybyGeisinger. Geisinger

enumerateditsGLNsattheshiptolocations

(centralsourcing),

and

reconciled

this

informationwithbothPremierandMedline.

GeisingerprocesseditsfirstordertoMedline

usingtheGLNonAugust17,2009,andby

October5,2009,hadworkedoutallelementsof

theirprocess. Theyaresuccessfullyusingthe

GLNinallMedlineorders(850)andorder

acknowledgements(855),withthecorrect

productsbeingreceivedinthecorrectlocations.

Currently,Geisinger

processes

more

than

15

purchaseorderseachdaywithMedline,some

containinghundredsoflineitems. SoonMedline

EDIinvoices(810)toGeisingerwillalsoinclude

theGLN.

BecauseofGLNimplementation,Geisingers

DeborahTempletonismoreconfidentinflow

andaccuracyofdataexchange,andthe

hospitalsabilitytogettherightproducttothe

rightplace. WiththeGLNinplace,weare

reapingthe

benefits

of

using

consistent

location

identification,includingstreamlined

communications,morereliableproduct

shipmentsandcleanerbusinessdocuments. In

addition,throughtheprogram,wevebeenable

todevelopaGLNadoptionapproachwhichwe

cannowleveragewithourothersuppliers,she

said.

Templetonacknowledgedthatwhilemany

providersand

suppliers

may

be

reluctant

to

changetheiraccountnumberingmethodology

duetofearoftheunknown,oncetheinitial

upfrontworkiscompletedandthefirsttrading

partnerisonboardwithGLNimplementation,

youvemadeitthatmucheasierforthenext

GLN Transaction Program Experience


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supplierrelationship. Thiswillbecomeacookie

cutterprocess. Itwillgeteasierandeasier.

MedlinesDaveRolstonagreed,andstatedthat,

althoughnotallprocessesmaybeinplacefor

eachtrading

partner

to

transact

with

the

GLN,

dontletperfectgetinthewayofgood.

Keepitsimple! Startingsmall,andwithone

tradingpartneratatime,theindustrywillbe

abletogetthisdone,andwillbeableto

surmountanybarrierstoimplementation.

Medlineismakingsomeenhancementstoits

ERPsystemtosupportGLNsenterprisewide,but

startedwithatacticaltypesolutionsotheycould

getstarted

using

GLNs

more

quickly.

Medline

usedthismethodtocrossreferenceitscustomer

shiptodatawiththecustomerGLN.

AccordingtoRolston,thisprocesswillworkfor

eachhospitalthatwantstoimplementGLN

during2010,whilealsoservingtheneedsof

hospitalsthatarefurtherbehindinGLN

implementation. Practicalexperienceallowsus

tomaketherightkindofenhancementstoour

ERPforlongtermuseandsupportoftheGLN.

AttheearlystageofGLNimplementation,both

GeisingerandMedlinefoundthattheactual

preparationforGLNusagehasmanybenefits,

including:

Cleansedmasterdata StrengthenedsupplierandGPOrelationship

withstreamlinedcommunications

ConfidenceintheinformationtheGPOandsupplierpartnerhasforshiptolocations

EstablishedareplicableGLNpreparationprocessthatcanbeusedforthenexttrading

partner

Keyexperiencetakeaways:

TakecontrolandcleanupyourhierarchyintheGLNRegistryforHealthcareasearlyin

theprocessasyoucan.

Communicateandplanwithyourvendorpartnersfrequentlyduringtheprocess.

Itisbettertotrythingsonasmallerscaleandgrowfromthere.


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Pairing2: AuroraHealthCareandBaxterInternational

AuroraHealthCare BaxterInternational

OrganizationInformation Wisconsinintegratedcaresystem.

www.aurorahealthcare.org

Global,diversifiedhealthcare

company. Manufactures

productsin26countries.

www.sustainability.baxter.com


participants

StuartWooster,Manager,Corporate

Purchasing

BarbZenner,SeniorProject

Manager

Relevantsystems

information

InternallydevelopedMMIS ConvertinggloballytoJDE8.12

(U.S.targetisJuly2011)

Transactionrelationship Sends/receivesordersviaEDIthrough

GHX

exchange

Auroracurrentlyusesacustom,homegrown

materialsmanagementinformationsystem

(MMIS),andtransactsordersviaGHX. Auroras

MMISsystemisuniqueinthatitusesa

customizedelectroniccommunicationformat,

whichdoesnotmakeitpossibletocurrently

transactusingGLNsviaGHX. Asaresult,Aurora

hastakenotherstepstoprepareforGLN

implementation

readiness,

including:

IncorporatedtheGLNfieldinRequestsForProposalstosuppliers

WorkedwithPremiertoensureGLNfieldsareintheGPORosterandanupdateprocess

isestablished

ConcludedthatAurorawillutilizeGLNsforeachshiptoaddressthatappearon

PurchaseOrders

ChosetheformatforoutboundordersthatincludesboththeGLNandthepreexisting

accountnumberbasedonguidelinesinthe

GHXsdocumentUsingGLNswithGHX,a

supplementtotheGS1HealthcareUSGLN

ToolKit.

(Note: GHXhaspublishedatoolkitand

othermaterialsfortradingpartnersthatplan

tousetheGLN. Moreinformationcanbe

foundat:

http://www.ghx.com/65boutGHX/IndustrySt

andards/tabid/827/language/en

US/Default.aspx)

AuroraworkedwithBaxtertoreviewallexisting

accountnumbers,eliminatingoutdatedor

duplicatenumberssothatbothorganizations

hadthe

correct

facilities

listed.

In

addition,

AuroraconfirmedtheGLNdatainitsPremier

roster. AuroraopenedanewhospitalinMarch

2010,ispreparingforasecondnewhospitalin

October2010andisproactivelyensuringGLNs

areassignedpriortolaunch.

IstronglyadvocatethatprovidersassignGLNs

totheircurrentshiptolocations,theplaces

wheresuppliesaredeliveredfromthesupplier,

saidStuart

Wooster

at

Aurora.

For

success

in

implementation,youneedtokeepthingsas

simpleaspossible,andprioritizehowyouwill

assignGLNs. Waituntilyouhaveagood

understandingofGLNsandthehierarchybefore

assigningGLNstoeverydeliverylocation,suchas


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Pairing3: MissionHospitalandOwens&Minor

MissionHospital Owens&Minor

OrganizationInformation Regionalleaderinadvancedmedical

careforWesternNorthCarolina.

www.missionhospitals.org

Leadingdistributorofmed/surg

suppliestotheacutecare

market. Leadingproviderof

supplychainmanagement

solutionswithannualrevenue

ofover$7.2billion.

www.owensminor.com


participants

PatSmith,MaterialsManager SangChong,Enterprise

Architect

Relevantsystems

information

MMISisLawsonv.8.1.9.0 Customapplication(currently

inprocessofbeingupgraded)

Transaction

relationship

Sends/receives

orders

via

EDI

through

GHXexchange

MissionHospitalwouldliketosimplifyits

electronicorderingprocessbyhavingone

commonnumberforallofitsvendorsand

suppliers. Ifavendorknowsmebyasingle

numbertoday,anaccountnumberthey

assigned,Iinitiallythoughtweshouldbeableto

simplychangethatnumbertomynewGLNand

moveforward. Outsideofsystemfieldsize

limitations,Iwasntsurewhyithadtobemore

complicatedthanthat,Smithsaid.

Unfortunately,Missionwasnotsuccessfulin

placinganorderusingaGLNduringthecourseof

theGLNTransactionProgram. Smithdiscovered

thatwhileitisimportanttokeepthingssimple,it

isalsoimportantnottooversimplify

expectationseithergiventhemultilayered

natureoftodayshealthcaresupplychain.

MJWylie,DirectorofGlobalData

StandardizationforGHXreflects,Thisisanother

reasonastowhyitssoimportantto

communicateearlyandoftenamongall

participants;supplier,MMISvendorandyour

ecommerce/EDIpartner. Thecomplexitieswill

lessenandtherewardsincrease.

Smithisnotwaitingforallthesystemstolineup

beforegettinghisGLNsready. Itisextremely

importanttogetstarted,andidentifytheissues

youwillencounter,andspendsometime

creatingsolutionsforthose,hesaid. Earlyin

theprogram,

Mission

spent

eight

hours

aweek

foraboutamonthontheGLNimplementation

process,includingtimespentonbecoming

familiarwiththeGLNRegistry.

WearereadytotransactwiththeGLN,our

supplierpartnerO&Misready,andonceweget

ourissuesresolvedwithourMMISsoftwareand

ourexchangepartner,itwonttakeuslongto

getgoing.

GoingintothePremierGLNTransaction

Program,O&MsSangChongexpectedto:

Testandgainexperienceinconfiguringsystemsandprocessingelectronicsales

orderswithGLNs.


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SuccessfullyprocessEDIsusingGLNswithselectedpartners.

IdentifyhowGLNscouldbeusedandwhattheinitialimplementationwouldrequire.

EstablishthedefaultprocessforGLNtransactions

to

be

used

with

other

trading

partners.

Bebetterequippedforthefullimplementationtobereadyforthe

December2010GLNSunrisedate.

WhileO&MandMissionhadsomedifficulties

gettingthepilotsuccessfullycompleted,Chongis

notdisappointed. Wewereabletocapture

somelessonslearnedthatwillhelpinfuture

implementations. MissionandO&Marealso

continuingtoworktogethertoovercomethe

hurdlesandworkouttheprocess,Chongsaid.

Inaddition,O&Misintheprocessofupgrading

itsbackendsystems. Expectedtobecompleted

byJan.2011,thesystemwillaccommodateGLNs

inEDItransactionswithO&Mcustomers.

ForGLNpilots,Chongoutlinedthefollowing

implementationsteps:

1) IdentifythetradingpartnertotesttheGLNsonsalestransactions.

2) DefinescopetypicallylimitedtosalesorderEDIdocumentsandlimitednumberofGLNs.

3) TheproviderregistersGLNswithintheGLNRegistryforHealthcare.

4) TheproviderforwardstoO&Mtheconversiontablethatmatchesthelegacy

account

ship

to

codes

to

the

new

GLNs.

5) ThecrossreferencedataisenteredtoO&MspilottableforGLNs.

6) SalesEDI(850)istested.a) Ifissuesoccur,ensurethefollowing

optionswereconsideredandaccounted

foraccordingly:

i) UpgradingproviderMMISsothatitcangeneratetheEDIsforGLNinthe

correctformat

ii) Involvingecommerce/exchangeprovidersfromthebeginningto

facilitatethe

conversion

service

for

theprovider.

GLNimplementationisdoablebytheSunrise

dateforDec.2010. Nooneneedwaituntil

everythingisperfectorlinedup. Getstarted,

identifyyouropportunitiesandchallenges,and

youllsoonbeonyourwaytomorestreamlined

supplychaininteractions,Chongsaid.

Keyexperience

takeaways:

Getinvolvedwithworkgroupsandconferencestolearnaboutthebenefitsof

usingGLNs

Startsmall useGLNsonsalesEDIs,andstartwithafewGLNsattheshiptolevel.

Involveallpartiesearlytogettheprocessclearlydefined.


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Acrosstheboard,participantsexperienced

benefitsfromthestepstheytooktopreparefor

GLNtransactions,regardlessofwhetheran

actualtransaction

took

place.

Among

the

lessonslearned:

ParticipantsagreedthatimplementingtheGLNiscompletelyachievablewithina

reasonabletimeframe.

ParticipantsfoundthattheworkrequiredtosupportGLNimplementationislargely

frontloaded. Attheverybeginningofthe

process,

these

providers

spent

roughly

eight

totenhourstogetGLNscleansedand

reconciledwithPremier,aswellas

communicatedandmatchedwithsupplier

accountnumbers. OnceaGLNmaintenance

processisinplace,providersfoundthat

approximatelytwohoursaweekneedstobe

dedicatedtotheeffort.

AllparticipantsfeltthatprovidersshouldstartsmallandbasicworkonLevel1inthe

GLNRegistry(parentorganizations)and

establishthecorrectshiptolocations.

ProvidersalsoagreedthatestablishingaprocessformaintainingGLNinformationin

theRegistryisextremelyimportant. GLN

maintenanceneedstobecomearoutine

businessprocessandsecondnatureto

ensurelongtermsuccess.

Providersalso

felt

that

selecting

astrong,

customerorientedsupplierpartnerforthe

initialGLNimplementationisimportant. As

GLNexpertiseisnotestablishedin

healthcare,thereisafeelingofwereallin

thistogether,andstartingtheGLN

implementationwithagoodsupplierpartner

willhelpinidentifyingchallengesand

solutionsinusingtheGLN.

ParticipantsfeltstronglythathospitalsshoulddriveGLNimplementationwith

supplierpartners. Inmostcases,suppliers

willcomplywithcustomerrequestsand

collaboratetofigureouthowtoovercome

implementationchallenges.

Despitethefactthat2ofthe3pairingswereunabletocompleteatransaction,providers

feltthat

the

exercise

in

preparing

for

GLN

implementationwasvaluableand

important,andoverwhelminglyfeltthat

theywerereadytogo.

AllparticipantsfeltthatprovidersshouldgetstartedwithGLNimplementationrightaway.

Bydoingso,themystiqueinvolvedwith

GLNswillbecomemanageable. Oneofthe

biggestbarriersidentifiedissimplythe

unknown,

which

quickly

disappears

once

theprocessisstarted.

ParticipantsfeltthattherewasnoreasontowaitonGLNimplementation. Evenifa

provideriswaitingforasystemsupgrade,or

desirestoultimatelyhaveallhospital

deliverylocationsenumeratedwithGLNs,

implementationcanandshouldoccurina

phasedapproach.

Stayeducatedandgetinvolvedinworkgroupsandusergroupssponsoredby

GS1USandotherindustryorganizations.

Lessons Learned


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Conclusion

Healthcareprovidersandsuppliersshouldbeginpreparingforthe2010GLNSunrisenow.

ThroughtheuseoftheGLN,criticallinkagesinthesupplychaincanbeclearlyidentified

anduniversallynumbered. TheGLNwillenhancethehealthcareindustrysabilitytoensure

theright

product

gets

to

the

right

place

at

the

right

time.

With

the

GLN

Sunrise

on

the

horizon,thePremiermemberhospitalsinvolvedintheinitialphaseofthePremierGLN

TransactionProgramwillcontinuetobuildupontheexperiencesandlessonslearned.

PremierisexpandingitsGLNTransactionProgramtoincludeadditionalmemberand

supplierpartnerpairings.


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AboutPremier

ThePremierhealthcareallianceismorethan2,300U.S.hospitalsand66,000plusotherhealthcaresites

workingtogethertoimprovehealthcarequalityandaffordability.Ownedbynotforprofithospitals,

Premiermaintainsthenation'smostcomprehensiverepositoryofclinical,financialandoutcomes

informationand

operates

aleading

healthcare

purchasing

network.

A

world

leader

in

helping

deliver

measurableimprovementsincare,PremierworkswiththeCentersforMedicare&MedicaidServices

andtheUnitedKingdom'sNationalHealthServiceNorthWesttoimprovehospitalperformance.

HeadquarteredinCharlotte,N.C.,PremieralsohasofficesinSanDiego,PhiladelphiaandWashington.

AboutthePremierGLNTransactionProgram

Participants

AuroraHealthCareisanotforprofitWisconsin

healthcare

provider

and

anationally

recognized

leaderineffortstoimprovethequalityofhealth

care.Auroraoffersservicesatsitesinmorethan

90communitiesthroughouteasternWisconsin.

http://www.aurorahealthcare.org.

BaxterInternationalInc.,throughits

subsidiaries,develops,manufacturesand

marketsproductsthatsaveandsustainthelives

ofpeoplewithhemophilia,immunedisorders,

infectiousdiseases,

kidney

disease,

trauma,

and

otherchronicandacutemedicalconditions.Asa

global,diversifiedhealthcarecompany,Baxter

appliesauniquecombinationofexpertisein

medicaldevices,pharmaceuticalsand

biotechnologytocreateproductsthatadvance

patientcareworldwide.

www.sustainability.baxter.com

GeisingerHealthSystem(Danville,PA),founded

in1915,

is

one

of

the

nations

largest

integrated

healthservicesorganizations. Servingmorethan

twomillionresidentsthroughoutcentraland

northeasternPennsylvania,thephysicianled

organizationisattheforefrontofthecountry's

rapidlyemergingelectronichealthrecords

movement.Geisingeriscomprisedofthree

medicalcentercampuses,a700membergroup

practice,anotforprofithealthinsurance

companyandtheCenterforHealthResearch

dedicatedtocreatinginnovativenewmodelsfor

patientcare,

satisfaction

and

clinical

outcomes.

Formoreinformation,visitwww.geisinger.org.

GlobalHealthcareExchange,LLC(GHX)enables

healthcareprovidersandsuppliersinNorth

AmericaandEuropetoreducecostsand

improvemarginsbyautomatingprocesses,

reducingoperatingexpensesandincreasing

knowledgebaseddecisionmaking. Productsand

servicesincludetradingpartnerconnectivity,

orderand

contract

management

and

validation,

datasynchronization,salesforceautomationand

businessintelligence. EquityownersofGHXare

AbbottExchange,Inc.;AmerisourceBergen

Corp.;BaxterHealthcareCorp.;B.BraunMedical

Inc.;Becton,Dickinson&Co.;BostonScientific

Corp.;CardinalHealth,Inc.;Covidien;C.R.Bard,

Inc.;FisherScientificInternational,Inc.;GE

Healthcare;HCA;Johnson&JohnsonHealthCare

SystemsInc.;McKessonCorp.;MedtronicUSA,

Inc.;Owens

&

Minor;

Premier,

Inc.;

Siemens;

UniversityHealthSystemConsortium;andVHA

Inc. Formoreinformation,visitwww.ghx.com.


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MedlineIndustries,thenation'slargest

privatelyheldmanufactureranddistributorof

healthcareproducts,manufacturesand

distributesmorethan100,000productsto

hospitals,extendedcarefacilities,surgery

centers,home

care

dealers

and

agencies

and

othermarkets.HeadquarteredinMundelein,

IL,Medlinehasmorethan800dedicatedsales

representativesnationwidetosupportits

broadproductlineandcostmanagement

services. Overthepastfiveyears,Medlinehas

beenthefastestgrowingdistributorofmedical

andsurgicalsuppliesintheU.S.,servingasthe

primarydistributortoover450majorhospitals

andhealthcaresystems.Asaleading

distributor,Medline

offers

acomprehensive

arrayofconsultingandmanagementservices

encompassingthesupplychainandlogistics,

utilizationandstandardization,businesstools

andenhancedreportingcapabilities,andon

staffclinicians.http://medline.com/

MissionHospitalistheregionalreferralcenter

forWesternNorthCarolinaandtheadjoining

regionandisaccreditedbyTheJoint

Commission. MissionHospital,anotforprofit,

independentcommunityhospitalsystembased

inAsheville,NC, wasformedwhenSt.Joseph's

HospitalandMemorialMissionMedical

Centerstartedanorganizationalpartnershipin

1996. Thispartnershipwasfollowedbyafull

mergeronOctober27,1998,whenSt.Joseph's

HospitalwaspurchasedfromtheSistersof

MercybyMemorialMissionMedicalCenter.

TodaythesehospitalsarepartoftheMission

HealthSystem.

http://www.missionhospitals.org/.

Owens&Minor,aFORTUNE500company

headquarteredinRichmond,Virginia,isthe

leadingdistributorofmedicalandsurgical

suppliestotheacutecaremarketandaleading

providerofhealthcaresupplychain

managementsolutions

with

the

annual

revenue

ofover$7.2billion.Owens&Minoroffersafull,

integratedsuiteofsupplychainmanagement

servicesforsustainablesolutionsfromoriginof

producttodeliverytopatientbedside.

www.owensminor.com.

Gln Implementation

Documents

Transcript of Gln Implementation