1

GS1 Data

Standards Overview

222

This is Medline

1st Generation• 1910 A.L. Mills starts Northwestern Garments• 1912 Company renamed Mills Hospital Supply

2nd Generation• 1918 Irv Mills enters father’s business at age 12• 1924 Irv manages business at age 18

(Mills Hospital Supply 1912-1961)

3rd Generation• 1961 Cenco Instruments buys Mills Hospital Supply• 1966 Medline founded - Jim and Jon Mills manage company

4th Generation• 1997 Charlie, Andy Mills and Jim Abrams assume management

Northwestern Garments/Mills Hospital Supply

333

Medline has Momentum

$3.6billion

6800+employees

No.1privately held manufacturerand distributorof health care products inthe US

4th

generationfamily leadershipseeks long-termgenerational growth

40+years of consecutive growth

950person dedicated field representatives

$600$685

$780$880

$1,000$1,125

$1,270

$1,450

$1,660

$1,900

$2,170

$2,500

$2,840

$3,200

$3,600

$4,000

1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

This is Medline

Sales in Millions

444

Serving Customers Across the Health Care Industry

Hospitals

Nursing Homes

Ambulatory Surgery Centers

Hospital Laundries

Home Health Care

Physician Offices

Retail (Walgreens, CVS, Wal-Mart, Costco, Sam’s Club, Dollar General, K-Mart, Family Dollar, Target, Jewel)

This is Medline

555

Danbury, CT

Anchorage, AK

Wawayanda, NY

Allentown, PA

Aberdeen, MD

Honea Path, SC

Atlanta, GA

Orlando, FL

San Juan, PR

Miami, FLClearwater, FL

New Orleans, LA

Seattle, WA

San Antonio, TX

Austin, TX

Dallas, TX

Noble, OK

Detroit, MI

Columbus,OH

Mundelein, IL – Corp Office & MFG Facility

Libertyville, IL – Dist Center

Waukegan, IL – 2 MFG Sites, 1 Sterilizer

Kansas City, MO

Memphis, TN

Durham, NCLouisville, KY

Alamo, TN

Denver, CO

Salt Lake City, UT

Phoenix, AZ

San Bernardino, CA

Trans-ship Lathrop, CA

Hawaii

Lathrop, CA

30 Distribution Centers 2 Service Centers 13 Manufacturing Sites

Oklahoma City, OK

Mansfield, MA

This is Medline

Multiple Facilities — Everywhere Our Customers Are

Indianapolis, IN

Portland, OR

Nuevo Laredo, Mexico

Cincinnati, OH

Campeche, Calkiní & Merida, Mexico

Phnom Penh, Cambodia

3 Sterilizers

Oldsmar, FL

Laredo, TX

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GS1 - Overview of Data Standards

Who is GS1 Healthcare US?

• GS1 Healthcare US is the national healthcare industry user group that supports the adoption and implementation of global standards led by GS1 Healthcare. GS1 Healthcare is a global user group created to further develop existing GS1 standards to meet the specific needs of healthcare around the world

GLN: Global Location Number (customer numbers)

GTIN: Global Trade Item Number (universal item number)

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Healthcare Industry Timelines

The current industry goals for implementation are:

GLN – fully supported use by December 2010

• Baseline functions are for provider / supplier to utilize EDI 850 / 855 (PO and PO Confirm) by this date

GTIN – fully supported use by December 2012

• Baseline functions will be similar to GLN, but details still being worked out via the GS1 US Healthcare workgroups

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The Global Location Number

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GLN - Details

GLN: Global Location Number (customer numbers)

• Each location of a healthcare facility is assigned a unique 13-digit number called a

• Global Location Number (GLN). The GLN provides a globally unique standardized location identification number for providers, manufacturers, and distributors. The GLN can identify a functional entity, such as a nursing station; a physical entity, such as a warehouse or a hospital wing; or a legal entity or trading partner, such as a specific company or supplier

GLN Details

GLN is assigned to the location by the provider (or maybe GPO has

assisted.)

GLN is assigned to the location by the provider (or maybe GPO has

assisted.)

Supplier AAASupplier AAA

Provider orders using the same GLN with any

supplier

Provider orders using the same GLN with any

supplier

Provider doesn’t have to maintain all of the vendor account numbers

Supplier BBBSupplier BBB

Distributor XYZDistributor XYZ

9900005781245 MAIN STOREROOM9900004542649 OR DEPT

9900005781245 MAIN STOREROOM9900004542649 OR DEPT

GLN Registry

Over 240,000 GLNs registered for Healthcare

Hierarchy allows identification of Ship To, Deliver To and Bill To locations

• 4 Levels allow identification from Street to Bin

Source of Truth for Locations tied to GLNs

• The GPO Roster is still the source of truth for Eligibility

• Manufacturers still the source of truth for pricing.

GLNs are assigned to physical locations, not people

• If a doctor changes offices, they would be assigned a new GLN.

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What does a GLN identify?

Legal Entities

Legal Entities in this sense can include parent corporations, subsidiaries and/or divisions. Examples include supply chain partners like suppliers, customers, GPOs, distributors, manufacturers, third party logistics, providers/hospitals, etc.

Functional Entities

Functional Entities in this sense can include a department within a legal entity, and even unstaffed operation points like vending machines and automated supply replenishment machines. Examples include pharmacies, purchasing departments, accounting departments, etc.

Physical Locations

Physical Locations in this sense can include specific locations within a legal entity and/or a functional entity Examples include a warehouse, warehouse gate, loading dock, hospital, delivery point, hospital unit, nursing station, particular room in a building, and even a cabinet or cabinet shelf.

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GLN Registry

GLN

USPS Address Standards

Location Type & Hierarchy

Inside the Supplier’s System

The GLN is another field as part of the customer

master record.

The GLN is another field as part of the customer

master record.

Inside the Supplier’s System

We will still have customer account numbers – the semantic may change to internal account number.

• All transactions and reporting will ultimately reference the GLN

• Reality is it will take time for full adoption, and we serve markets that don’t use the GLN’s so supplier provided account numbers will still be needed.

The implementation doesn’t and shouldn’t matter to other trading partners. It is the USE of the information that matters.

Same holds true for your systems – you are not looking at an “All or Nothing” principle.

• Different systems will vary, but a hybrid approach allows you to start smaller (or simple) and grow from there.

Some More Terms:

Registry = GS1 database of GLN information.

Hierarchy = establishing your parent/child relationships (main account, ship-to’s, etc.)

Enumeration = assignment of GLN’s to all relevant location data (and then saved in the GLN Registry.)

Reconciliation = working with your supplier(s) to determine which account numbers align to your GLN’s.

Many GPO members’ data is already in the GLN Registry. Check with your GPO representative or contact GS1 US Healthcare.

How to get going…

Secure Executive-Level support.

Stay educated and get involved in workgroups and user groups sponsored by GS1 US and other industry organizations.

Work with your GPO to get involved in Pilots that facilitate GLN Adoption. You don’t have to do this alone.

Plan a phased approach that works for your organization.

Start now!

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Provider Readiness Scorecard

Scorecards are available from GS1 to inform suppliers of your status.

This is to help promote understanding of where providers are in the process.

Suppliers fill out a similar scorecard

Good method to match up suppliers and providers ready to transact.

Case Study: IDN and Supplier Go-Live

What does it mean to get started?

What do I do?

How do I get started?

And other questions…

An experience going live with the GLN.

Gained access to the registry via our primary GPO

Cleaned-up all data

Found multiple entries input by multiple GPO’s

Registry now tracks ID of person making changes

Only the primary GPO (for affiliates) and provider can make changes

All changes are sent to the provider for final approval

Any initial info set-up done by other GPO’s must be approved by the current GPO and provider; GS1 does the changes

Case Study: IDN and Supplier Go-Live

GEISINGER HEALTH SYSTEM FOUNDATION1100002569136

GEISINGER CLINIC1100002376260

GEISINGER MEDICAL MANAGEMENT CORPORATION

1100002504182

GEISINGER HEALTH PLAN1100003274978

GEISINGER HEALTH SYSTEM1100003779374

GEISINGER MEDICAL CENTER1100004348319

MARWORTH1100004689528

GEISINGER SOUTH WILKES BARRE1100004854773

GEISINGER SYSTEM SERVICES1100004963093

GEISINGER COMMUNITY HEALTH SERVICES

1100005054301

GEISINGER WYOMING VALLEY MEDICAL CENTER1100005700116

• Level 2 – Financial Structure

• Level 1 – Legal EntityLevel 1 – Legal Entity

Case Study: IDN and Supplier Go-Live

GEISINGER SOUTH WILKES BARRE1100004854773

PATIENT SERVICE

CENTER GSWB110000266495

4

GEISINGER PSC SOUTH WILKES

BARRE1100003544002

7840A

PATIENT SERVICE CENTER

MOUNTAIN TOP110000295045

3

GEISINGER PSC MOUNTAIN TOP1100005891784

7841A

PATIENT SERVICE CENTER DALLAS

1100004784278

GEISINGER PATIENT SERVICE

CENTER DALLAS1100004322289

7842A

GSWB RECEIVING

DEPARTMENT1100005020498

GSWRC

PATIENT SERVICE CENTER

KINGSTON110000506412

6

GESINGER PATIENT SERVICE CENTER

KINGSTON1100002293383

7846A

GSWB HEMATOLOGY

ONCOLOGY ACC110000524332

3

GSWB HEMATOLOGY

ONCOLOGY ACC1100005521278

GSWB STOREROOM

1100005277601GSW01

PATIENT SERVICE CENTER

HAZLETON1100005486669

• Level 3 & 4Level 3 & 4 Supply Chain Supply Chain

Case Study: IDN and Supplier Go-Live

VND 703 VND 777 VND 96 VND 738 VND 77 VND 747 LOC NO GPO#1 GLN NBR STATUS PO NAME NOTES

GLN# GLN# GLN# GLN# GLN# GLN#

3383133 3071C 1100007378743 FRACKVILLE FAMILY PRACTICE

1748137 3013 1100003837334 GEISINGER CARDIOVASCULAR ACC

3877330 3013B 1100007333307 GEISINGER CARDIOVASCULAR SRVCS

7100 GEISINGER CROSS VALLEY OFFICES

3840 GEISINGER HEALTH SYSTEM

17477/ 4004 10014733 DAN02 1100007803330 INACTIVE GEISINGER HEALTH SYSTEM

774 3333 1100003347171 GEISINGER HOME CARE EAST

7711B 1100003370344 GEISINGER HOMECARE

7711 1100003711017 GEISINGER HOMECARE AND HOSPICE

7711A 1100003311337 GEISINGER HOSPICE

3031 INACTIVE GEISINGER LIVING UNLIMITED

8007 INACTIVE GEISINGER LIVING UNLIMITED PRG

3017 GEISINGER MEDICAL LABS

710 4877A 1100007377787 GEISINGER PSC DALLAS

711 4873A 1100007773383 GEISINGER PSC KINGSTON

71117377 3877374 707 4871A 1100003871487 GEISINGER PSC MOUNTAIN TOP

71117373 708 4870A 1100003377007 GEISINGER PSC SOUTH WB

4817 1100003871737 GEISINGER SOUTH WB GIM

3837374 4817B 1100007373333 GEISINGER SOUTH WB GIM

3837 1100007114807 GEISINGER WOMENS AND PEDS SWB

3470338 3837B 1100003343333 GEISINGER WOMENS HEALTH

3037 1100007100704 GEISINGER WOMENS HLTH SUNBURY

3871 337734 1100003178877 GEISINGER WOMENS PEDS HAZELTON

VENDOR CUSTOMER ACCOUNTS/SHIP-TO X-REF TABLE – VENDOR CUSTOMER ACCOUNTS/SHIP-TO X-REF TABLE –

““Postal Service without a Zip Code” (Sample)Postal Service without a Zip Code” (Sample)

Case Study: IDN and Supplier Go-Live

CUSTOMER ACCOUNT/SHIP-TO X-REF – REMOTE SITESCUSTOMER ACCOUNT/SHIP-TO X-REF – REMOTE SITES

(SAMPLE)(SAMPLE)LAST DTE LAST PO CUST ST ACCT LOC GLN ST NAME ST ADDR1 ST ADDR4 ST ADDR3 ST ADDR4 ST CITY ST 06/26/2007 7234222 3832432 3033D 1100002238334 LIFE GEISINGER KULPMNT LAB NET GEISINGER HEALTH SYSTEM 1100 SPRUCE ST SUITE 1000ROOSEVELT COURT30-33 KULPMONTPA 06/25/2008 7247223 4000 1100002438323 MARWORTH TREATMENT CENTER GEISINGER HEALTH SYSTEM PO BOX 33LILY LAKE RD40-00 WAVERLYPA 06/27/2008 7287123 4000C MARWORTH HOUSEKEEPING MARWORTH TREATMENT CENTER LILY LAKE RD 40-00 WAVERLYPA 10/24/2006 7220710 3413233 4000F MARWORTH NURSING MARWORTH TREATMENT CENTER LILY LAKE RD 40-00 WAVERLYPA 09/14/2007 7144422 4400 1100003321414 CAREWORKS CONVENIENT HLTHCARE GEISINGER HEALTH SYSTEM 333 SOUTH CEDARCREST BLVD44-00 ALLENTOWNPA 06/30/2008 7221423 3421888 4400A 1100003834140 ALLENTOWN CAREWORKS CONV GEISINGER HEALTH SYSTEM 333 SOUTH CEDARCREST BLVD44-00 ALLENTOWNPA 06/26/2008 7208341 4404 1100004832132 CAREWORKS CONVENIENT HLTHCARE GEISINGER HEALTH SYSTEM 3011 WILLIAM PENN HIGHWAY44-04 EASTON PA 06/24/2008 7207271 4404A 1100002338322 RX EASTON CAREWORKS CONV HC GEISINGER HEALTH SYSTEM 3011 WILLIAM PENN HIGHWAY44-04 EASTON PA 11/13/2006 7234302 3810824 4404B 1100002412314 EASTON CAREWORKS CONVENIENT GEISINGER HEALTH SYSTEM 3011 WILLIAM PENN HIGHWAY44-04 EASTON PA 06/30/2008 7221431 3834203 4402A 1100003104432 TANNERSVILLE CAREWORKS CONV HC GEISINGER HEALTH SYSTEM ROUTE 311 TANNERSVILLE PLAZA44-02 TANNERSVILLEPA 10/11/2006 7221430 3834202 4403A 1100004804443 STROUDSBURG CAREWORKS CONV HC GEISINER HEALTH SYSTEM 1040 NORTH 2TH STREET44-03 STROUDSBURGPA 06/20/2008 7221413 3203132 4408A 1100003201322 SCHNECKSVILL CAREWORKS CONV HC GEISINGER HEALTH SYSTEM 3040 ROUTE 843 44-08 SCHNECKSVILLEPA 06/24/2008 7244284 4814 1100003841434 GEISINGER SOUTH WB GEN INTERNAL MEDGEISINGER CLINIC 133 HANOVER ST SUITE 40348-14 WILKES BARREPA 06/25/2008 7280218 3834324 4814B 1100002343333 GEISINGER SOUTH WB GIM GEISINGER CLINIC 133 HANOVER ST SUITE 40348-14 WILKES BARREPA 06/30/2008 7128834 4821 1100004230233 PATIENT SERVICE CENTER MT TOP GEISINGER HEALTH SYSTEM 434 S MOUNTAIN BLVD48-21 MOUNTAINTOPPA 06/16/2008 7282184 3842324 4821A 1100003821482 GEISINGER PSC MOUNTAIN TOP GEISINGER HEALTH SYSTEM 434 S MOUNTAIN BLVD48-21 MOUNTAINTOPPA 06/26/2008 7124302 AT1 GNADEN HUETTEN MEML HOSPITAL 411 N 14TH ST LEHIGHTONPA 06/19/2008 7282822 DAN01 1100003481423 GMC STOREROOM GEISINGER MEDICAL CENTER 100 N ACADEMY AVE 13-00 DANVILLEPA 05/24/2006 7104211 DAN02 1100004803330 GEISINGER HEALTH SYSTEM RECEIVING DEPARTMENT 100 N ACADEMY AVE DANVILLEPA 06/24/2008 7220043 DANRC 1100002324322 GMC RECEIVING DEPARMENT GEISINGER MEDICAL CENTER 100 N ACADEMY AVE 13-00 DANVILLEPA 06/26/2008 7104713 GSW01 1100003444301 GSWB STOREROOM GEISINGER SOUTH WILKES BARRE 43 CHURCH STREET WILKES BARREPA 06/13/2008 7272171 GSWRC 1100003040228 GSWB RECEIVING DEPARTMENT GEISINGER SOUTH WILKES BARRE 43 CHURCH STREET WILKES BARREPA 06/27/2008 7282882 GWV01 1100002023234 GWV STOREROOM GEISINGER WYOMING VALLEY M C 1000 EAST MOUNTAIN DRIVE WILKES BARREPA 06/25/2008 7202723 GWVRC 1100004234313 GWV RECEIVING DEPARTMENT GEISINGER WYOMING VALLEY M C 1000 EAST MOUNTAIN DRIVE WILKES BARREPA 06/25/2008 7211342 WB0 GWV MEDICAL CENTER 1000 E MOUNTAIN DR WILKES BARREPA 06/30/2008 7202343 WM0 GMG LOCK HAVEN 233 BELLEFONTE AVE LOCK HAVENPA 10/11/2006 7187131 WM2 ISS C/O JOHN KOVALCHIK 3130 CHATHAM GLEN WAY HARRISBURGPA

241 308 230

Case Study: IDN and Supplier Go-Live

EDI 850 PO – IMPLEMENT BY VENDOR EDI 850 PO – IMPLEMENT BY VENDOR

ISA^00^ ^00^ ^ZZ^531680B00T ^01^007951230 ^080309^2319^U^00401^000000032^0^T^|GS^PO^ 531680B00T ^007951230^20080309^2319^32^X^004010ST^850^0001BEG^00^NE^5548434^^20080307N1^VN^^21^472N1^ST^^UL^1100004542649PO1^1^1^BX^14.11^^VC^2378MC32221^IN^1000220CTT^1SE^7^0001ST^850^0002BEG^00^NE^5548435^^20080307N1^VN^^21^472N1^ST^^UL^1100004542649PO1^1^1^BX^21.11^^VC^2378MC42221^IN^1000220CTT^1SE^7^0002GE^2^32IEA^1^000000032 

GLN (SHIP-TO)GLN (SHIP-TO)

VND ITEM # going to VND ITEM # going to GTIN of GTIN of

^^UK^ 00382903672035^^^UK^ 00382903672035^

* Not using this today* Not using this today

Case Study: IDN and Supplier Go-Live

Case Study: IDN and Supplier Go-Live GLN Process Steps – Provider and Supplier

Developed task list; sources of information: internal, Mayo White Paper, EDI process map info

Developed internal strategy and tactics for the pilot

• Used the EDI environment as the “x-ref” environment as intermediate solution; Recognize that this is not a long-term approach

Reconciled customer account numbers (sold-to’s and ship-to’s)

Provider provided list of GLN’s to Supplier

• How these numbers will be maintained and who will provide in the future needs to be determined

Total Provider invested cost: 8-10 manhours per week

Total Supploer invested cost: 4-8 manhours per week

Case Study: IDN and Supplier Go-Live Using the GLN

Started: 8-17-09

First order Released: 10-5-09

Focus was 850/855 transactions

Goal: Send and Receive transactions with the GLN (“perfect order”) and receive product in the correct location

Since then, we now also transact the EDI 810 (Invoice) with this IDN.

Case Study: IDN and Supplier Go-LiveWhy was this successful?

Both partners understood the process and had common goals and a common defined outcome

Both partners were well educated on the GLN concept

Flexibility and Good Communication

Testing, Testing, Testing

There was close monitoring of orders and confirmations

Had a set process to discuss findings and issues and to share information

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GTIN - Details

GTIN: Global Trade Item Number (universal item number)

• Global Trade Item Numbers (GTINs) uniquely identify items that are traded in the Supply Chain. Brand Owners who hold the specifications of a healthcare item must properly allocate and maintain their GTIN’s

• When fully adopted, there will be no more vendor catalog numbers used (MMM1149, B-D50345, MDS090675, etc.) Each item will have its own GTIN and distributors, hospitals, etc will reference the item by its GTIN. Today if a customer wants to order NON27420, they use a different catalog number depending on who they order it from (example below.)

GTIN Details

GTIN is assigned by the Manufacturer of the Item

GTIN is assigned by the Manufacturer of the Item

Distributor refers to the same item using the same

GTIN

Distributor refers to the same item using the same

GTIN

Provider orders using the same GTIN for that same

item

Provider orders using the same GTIN for that same

item

All parties in the supply chain are using the same item number.

GTIN Readiness

Good news: all the heavy work is being performed by the manufacturers.

Provider MMIS will have patches to support GTIN before Sunrise Date 2012

Suppliers committed to support go live end of 2012.

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Getting More Information

Check out the the GS1 US Healthcare website for lots of good information:

• http://www.gs1us.org/healthcare

Great Information in the GS1 Provider Toolkit:

• http://www.gs1us.org/Default.aspx?tabid=207

• Available on CD’s too.

Work with your GPO as they have been involved in the GS1 efforts

Join Weekly Teleconference Call for GLN Registry

• Simple 30 minute call that you can just listen, or ask any question you like.

• Probably the best way to get started beyond your own research on-line.

• Give it a few weeks – some weeks are better than others depending on the attendees for that call (varies due to work schedules.)

GLN Registry User Group Call

Join weekly conference calls and/or live workgroup meetings – great way to hear some information firsthand

When: Second Tuesday of every month 11:00 AM to 11:30 AM Eastern

Where: 1-866-910-4857 Passcode # 943010

Objective:

This group is open to all GLN registry  users (manufacturers, suppliers, distributors, providers)  to share information, the use of best practices and general information. The 2009 chairman is Premier. But again this teleconference is open to all users.  Please disseminate this meeting as widely as possible. Premier Point of contact for this meeting is Kathy Spring or Troy Cook. 

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Thank You!

Questions & Answers