Healthcare GLN Implementation Guideline | GS1 (2024)

This appendix contains implementation success stories previously reported via the GS1 Healthcare reference books. This appendix intends to provide a summary of each implementation and a link to where the business case can be found.

GLN Success Stories in Healthcare

1. NSW Health continues to benefit from its implementation of GS1 standards

NSW Health, Australia

Abstract:

In 2005, NSW Health adopted GS1 Australia’s Global Data Synchronisation Network (GDSN) compliant data pool, GS1net – known as the National Product Catalogue (NPC) in the Australian healthcare market – as its optimal and compliant solution to facilitate the exchange of accurate, timely and synchronised data across its supply chain.

Purpose/issues:

Manual processing of procurement information using several methods and from various sources.

These processes led to inaccurate, unreliable and variable sources of information and posed a deterrent to business growth. They were not conducive to system-to-system integration, essential for procurement process efficiencies.

Benefits/findings:

The NPC has enhanced the quality of data within the NSW Health procurement information system. The established processes by GS1 Australia provide system architecture improvement to ensure the solution is flexible in terms of accommodating industry endorsed additions and improvements over time. GS1 Locatenet, a central directory of GS1 Global Location Numbers (GLNs), enables the matching of NSW Health Location GLN to receiving Trading Partner GLN.

Reference:

GS1 Healthcare Reference book 2015/2016, Page 42,

https://www.gs1.org/sites/default/files/docs/healthcare/gs1_healthcare_reference_book_2015-2016.pdf

2. Ramsay Health Care getting the benefits of using GS1 standards

Ramsay Health, Australia

Abstract:

Ramsay Health Care (Ramsay) wanted to improve the efficiency of its supply chain processes while leveraging Australian national eProcurement recommendations. To address this need, the health system has deployed a full suite of GS1 standards for identifying, capturing and sharing information to support interactions with its suppliers, including GS1 Electronic Data Interchange (EDI) standards.

Purpose/issues:

Improve the efficiency of its supply chain processes

Benefits/findings:

Ramsay has increased both the speed and efficiency of its purchasing processes, strengthened the efficient operation of its hospitals and helped ensure the continuous delivery of quality healthcare. In addition, procure-to-pay processing costs have decreased by approximately 95 percent per transactional document.

Business messages are exchanged with suppliers using GS1 EDI XML standards containing the GTIN and GLN as primary identifiers for products and locations.

Reference:

GS1 Healthcare Reference book 2016/2017, Page 48,

https://www.gs1.org/sites/default/files/docs/healthcare/gs1_rb2016_web.pdf

3. How GLNs Contribute to the Standardisation Efforts at Charité University Hospital

Charité University Hospital, Germany

Abstract:

Realising the importance of identifying the location as accurately and precisely as possible, Charité University Hospital decided to implement GS1 Global Location Numbers (GLNs) for accounts/locations as an essential step in its efforts to fully support the adoption of healthcare supply chain standards.

Purpose/issues:

To identify the location as accurately and precisely as possible

Benefits/findings:

The GLN is used to uniquely identify locations and legal entities from manufacturers, distributors, and hospitals, all the way down to nursing stations. Transaction errors are then reduced while ensuring that the right product, procedure, and/or treatment are delivered to the right location.

The use of GLN brought important improvements to the healthcare supply chain:

Clean data on delivery locations and therefore reduced error rate (by considering the correct internal and external delivery address)

More accurate purchase orders and invoicing processes

Real-time access to GLNs – always up-to-date using GEPIR and the recommended processes

Reference:

GS1 Healthcare Reference Book 2013/2014, page 23,

https://www.gs1.org/docs/healthcare/13_GS1_HC_RefBook2013_All.pdf

4. BJC HealthCare GS1 Standards Implementation Case Study

BJC HealthCare, US

Abstract:

This case study details how BJC HealthCare successfully worked with GHX and GS1 Healthcare US to implement global industry standards in business transactions with suppliers and other healthcare trading partners. Today, BJC is using GLNs in all of its purchase orders transmitted through the GHX exchange and is prepared to transact with GTINs as its vendors enumerate their products with this standard.

Purpose/issues:

To automate the process of tracking products from the point of manufacture to the point of use in order to help improve patient outcomes and reduce supply chain costs

Benefits/findings:

To date, BJC HealthCare has derived the following benefits from GLN enablement:

Improved data accuracy

Reduced billing and shipping errors

Greater process efficiency

Reference:

BJC Healthcare GLN Case Study

GS1 Healthcare Reference Book 2011/2012, page 54,

https://www.gs1.org/docs/healthcare/GS1_Healthcare_Reference_Book_2011-2012.pdf

5. Seton Family of Hospitals and BD Use GS1 Standards and Processes to Reduce EDI Errors in Pursuit of “Perfect Orders”

Ascension Health and BD, US

Abstract:

Both Ascension Health and BD believed that alignment of master data was necessary for accurate transactions and was a pre-requisite for Perfect Orders. They also wanted a solution that could be shared and utilized with other trading partners. Therefore, Ascension Health and BD set out to implement GS1 standards to ensure alignment and accuracy; specifically, GTIN (product ID), GLN (location ID) and GDSN (product attribute data).

Purpose/issues:

Ascension Health manages pricing & product information for 445 locations. Accurate product information in systems and transactions is essential in order to maintain sufficient, reliable supply levels for “just in time” inventory management.

Benefits/findings:

No Unit of Measure EDI Errors

No Confusion or Errors on Ship-To Locations

Perfect Alignment on Contract Eligibility

No Synchronization “Work Around” Processes

One Source for Product Data

Clarity on Manufacturer ID

Provides Accurate Product Descriptions

Reference:

https://www.gs1us.org/DesktopModules/Bring2mind/DMX/Download.aspx?Command=Core_Download&EntryId=514

6. Mayo Clinic and Cardinal Health partner to implement GLNs for patient safety and supply chain efficiency

Mayo Clinic, US

Abstract:

In July 2008, Mayo Clinic and Cardinal Health collaborated to implement the GS1 GLN as their sole account/location identifier. Both organisations agreed that the GLN project would be an innovative first step toward the 2010 GLN Sunrise.

Purpose/issues:

To replace custom account numbers in order to reduce costs and improve patient safety. Mayo Clinic firmly believes that supply chain data standards will greatly improve healthcare safety and efficiency, supporting their primary value that “the needs of patients come first.”

Benefits/findings:

Price accuracy improves with location identification accuracy. Location identification errors can cause loss of discount eligibility as well as tier qualification and rebate disputes.

Price accuracy for Mayo Clinic and Cardinal Health is currently 99.5%, whereas the average supplier accuracy is 95%.

Superior price accuracy is attributed to not only GLN, but also to the commitment that both organizations make to price integrity and associated improvement efforts.

The use of GLNs improves supply chain management performance, and GLNs used in conjunction with other GS1 standards promise even greater performance. Similarly, the more supply chain partners that adopt GS1 standards, the greater the benefits for the entire industry.

Reference:

GS1 Healthcare Reference Book 2010/2011, page 24,

https://www.gs1.org/docs/healthcare/GS1_Healthcare_Reference_Book_2010-2011.pdf

7. Using GS1 standards to improve EDI accuracy and achieve the perfect order

BD, Mercy & ROi, US

Abstract:

In 2011, Becton, Dickinson and Company (BD), Mercy Health (Mercy) and its supply chain company, Resource Optimization & Innovation (ROi), launched a collaborative initiative to fully automate their order-to-cash process to achieve the “perfect order,” implementing GS1 standards from manufacturing site to patient bedside. This end-to-end integration of global data standards—in supply chain and clinical processes—by a healthcare manufacturer and provider is a first-time accomplishment in the U.S. healthcare industry.

Moving forward, the trading partners have continued to perfect and extend their perfect-order success, resulting in highly accurate and efficient processes with a continual focus on improving patient care. This review will provide an update on how the two organisations implemented EDI to achieve supply chain efficiencies and how their use of GS1 standards continues to evolve.

Purpose/issues:

To eliminate transaction errors, BD and ROi/Mercy took a phased approach to implement GS1 standards, enabling automated EDI transactions to reduce human intervention in their procurement and replenishment processes.

Benefits/findings:

By assigning GLNs, healthcare providers are not required to use the manufacturer-assigned, or distributor-assigned customer numbers for EDI, again eliminating the need to map tables and resulting potential errors.

Being more efficient and eliminating supply chain errors means healthcare providers can focus their resources on patient care instead of supply chain rework. Also, eliminating supply chain errors helps to ensure that the right products arrive at the right location when needed by the clinicians

Reference:

GS1 Healthcare Reference Book 2016/2017, page 55,

https://www.gs1.org/sites/default/files/docs/healthcare/gs1_rb2016_web.pdf

8. How Intermountain Healthcare Successfully Took Ownership of its GLNs and is Embracing GS1 Standards

Intermountain Healthcare, US

Abstract:

After receiving GLNs from GPOs many providers struggle with the next steps of GS1 implementation. Intermountain took this challenge and went full speed ahead to create a successful roadmap for other organizations to follow by creating an organizational hierarchy to validate and reconcile GLNs and beta testing GLN transactional data with a small group of suppliers.

Purpose/issues:

To take ownership of its GLNs to improve efficiencies, reduce costs and enhance patient safety.

Benefits/findings:

Improved operational efficiencies

Reduced costs

Enhanced patient safety

Reference:

http://www.intalere.com/Amerinet%20Documents/How%20Intermountain%20Healthcare%20Successfully%20Took%20Ownership%20of%20its%20GLNs%20and%20is%20Embracing%20GS1%20Standards.pdf

9. GS1 standards enable an integrated sterilisation management system for University of f*ckui Hospital Surgical Centre

University of f*ckui Hospital, Japan

Abstract:

Since 2014, the University of f*ckui Hospital (f*ckui Hospital) had focused on the cost-effective management of its surgical operations by using GS1 standards. The hospital has successfully achieved the traceability of surgical instruments in its surgical centre’s sterilisation process by identifying each of 20,000 instruments with the GS1 Global Individual Asset Identifier (GIAI), encoded in a laser-engraved GS1 Data Matrix barcode. To date, f*ckui Hospital has reduced the error rate along with the time required when assembling instruments for surgical operations by 2,000 hours per year. f*ckui Hospital is the first hospital in Japan to use GS1 Global Location Numbers (GLNs) to identify each of its locations.

Purpose/issues:

To enhance patient safety and the quality of infection control.

Benefits/findings:

By using GLNs as part of its surgical container setting system, f*ckui Hospital has helped reduce overall operation time by 500 hours per year.

Additionally, the management of steel instruments directly marked with GIAIs and the management of locations using GLNs have not only contribute to ensuring traceability on individual steel instruments, but also saved a total of 2,500 hours work time annually. This allows nurses to concentrate on other duties, and furthermore, can contribute to a reduction of their overtime work.

Reference:

GS1 Healthcare Reference Book 2017/2018, page 29,

https://www.gs1.org/sites/default/files/docs/healthcare/gs1_hcreferencebook_17-18.pdf

10. State-of-the-art hospital relies on GS1 standards for highly efficient and safe ways to work and care for patients

University Hospital Aarhus, Denmark

Abstract:

Constructing one of the largest hospitals in northern Europe has required a new approach to support process improvements and traceability. Five hospitals have merged to one hospital, and the new hospital now covers nearly 500,000 square meters. The hospital has 10,000 employees treating about 1,000,000 patients each year.
State-of-the-art technology has been a requirement for this transformation that has been more than ten years in the making.

Purpose/issues:

To create a foundation of global GS1 standards for innovation and technology adaption in a modern hospital.

Benefits/findings:

Today, each location in the hospital is identified by a GLN. A minimum level of usage is the exchange of GLN information between systems, yet a high level of metadata and location context information is available for systems. On top of the location database, a wayfinding system adds routes, making it possible to be guided to a location based on its identifier. Wayfinding guides are made available to patients before their arrival at the hospital to ensure a positive experience. With global standards in place, including EPCIS, the hospital can now easily locate the people and assets it needs to provide patients with timely and safe care.

Reference:

GS1 Healthcare Reference Book 2017/2018, page 12,

https://www.gs1.org/sites/default/files/docs/healthcare/gs1_hcreferencebook_17-18.pdf

11. Dijon Centre Hospitalier Universitaire (CHU): early adopter of the use of GS1 standards and identifiers in a hospital

Centre hospitalier Universitaire Dijon, France

Abstract:

The logistics platform of the CHU of Dijon opened in April 2009 and traces all of its internal deliveries using the GS1 standards. This application covers all the products received and delivered to the hospital, and more precisely health products. The platform traces internal deliveries, and needs to receive dispatch advices from suppliers and get SSCC on cartons and pallets. To ensure the traceability of internal deliveries, the CHU of Dijon has therefore identified all the places of departure, arrival and storage of the products using GLN - Global location Number. This includes 1,700 beds and nearly 6,000 GLNs.

Additionally, the delivery bins are individually identified with a GRAI - Global Returnable Asset Identifier.
Handlers are identified by a GLN, this application having been put in place before the adoption of the GSRN - Global Service Relation Number for Healthcare applications.

Purpose/issues:

To ensure complete traceability of deliveries from the platform to the units of care, to monitor the stock of each unit of care, to make a targeted batch recall in the care units received product concerned.

Benefits/findings:

Overall, there are 30% fewer stocks in the facilities. All products received on the platform are recorded and stored with a GTIN, batch number and expiration date. All deliveries record the GTINs, lot number and expiration date (in FIFO=first in first out mode), Batch setback (security) and Time saving in case of withdrawal alert trigger


This results in a 60% decrease in inventory in the healthcare units with a half on the central stock of the platform for better responsiveness.


A 50% reduction in the number of storage places in the new hospital's care units, resulting in a 30% increase in the area devoted to care.

Reference:

GS1 Healthcare Reference Book 2015/2016, page 19,
https://www.gs1.org/sites/default/files/docs/healthcare/gs1_healthcare_reference_book_2015-2016pdf

12. Indian Insurance Informatics Bureau (IIIB)

Hospitals in India

Abstract:

Signed a MoU early March to develop a National Hospital Registry using GLNs. The Registry will be the trusted source of reliable healthcare information in the country and will be accessible to various stakeholders including healthcare insurance companies, governmental bodies, regulators and beneficiaries.

Purpose/issues:

Build a single source of reliable, updated and authenticated information on location/contact details, treatments, and costs, etc. Each hospital is uniquely identified.

Benefits/findings:

Avoid duplicity;

Visibility and transparency to treatment costs for validating insurance claims;

Enable future tariff fixing of treatments to standardise healthcare costs in the country;

Streamline the health insurance process to speed up insurance claims settlement and handling of fraudulent claims;

Build global visibility of Indian healthcare facilities, services and capabilities for international patients;

Enable interoperability with other GS1 Healthcare registries;

Enable greater analytical and reporting to drive decision making by various stakeholders in the healthcare insurance industry.

A 50% reduction in the number of storage places in the new hospital's care units, resulting in a 30% increase in the area devoted to care.

Reference:
https://www.expresshealthcare.in/interviews/implementing-gln-for-hospitals-needs-a-mind-set-change-ravi-mathur-ceo-gs1-india/414426/
https://www.gs1india.org/content/registry-of-hospitals-launched-for-insurance-sector-rohini-

13. Plymouth Hospitals NHS Trust GLN implementation journey

Plymouth Hospitals NHS Trust in England, the UK

Abstract:

Plymouth Hospitals NHS Trust is the largest hospital in the South West Peninsula. They have a secondary care catchment population of 450,000 with a wider peninsula population of almost 2,000,000 people who can access their specialist services. The use of Global Location Numbers (GLNs) for location numbering is one of the core enablers of the Department of Health’s (DH) eProcurement strategy. By introducing GLNs now, Plymouth are making sure they’re on track with DH plans for compliance with GS1 standards.

Purpose/issues:

The Trust’s property management system was supplied by Micad, a GS1 UK Industry Partner, and contained 6,715 locations. The room numbering conventions weren’t consistent and, where the numbers themselves were attached to the doors rather than the location, this led to problems when doors or doorframes were removed or relocated. This created extra work renumbering locations when doors were moved and looking for locations that had no number label at all. The inconsistent numbering system also made it difficult to find locations without a floor plan. Also, there was little or no consistency across different software systems, with the same location being referred to differently in each system. The replication of data also introduced the potential for information to be stored incorrectly for example, when a cost centre changed, this information wasn’t cascaded to other systems.

Benefits/findings:

The Trust introduced GLNs as a way of managing their locations in a cost-effective and consistent way. The GLN provides a unique number to every location, and this will eventually allow the Trust’s property management system to route information to the other systems with no manual involvement. The next stage will be to make sure that the high priority in-Trust systems are all using GLN identifiers (the Trust has around 240 systems in total) with associated interoperability benefits.

Healthcare GLN Implementation Guideline | GS1 (1)

Reference:

https://www.gs1.org/sites/default/files/docs/healthcare/gs1_hcreferencebook_17-18.pdf

14. eProcurement at St James’s Hospital, Dublin

St James’s Hospital, Ireland

Abstract:

In 2013, St James’s Hospital (SJH) embarked on a proof-of-concept (POC) project in conjunction with a number of suppliers to automate the end-to-end ordering process. The objective of the POC was to fully standardise and automate the ordering process between the hospital and the supplier. The process replaces paper-based systems and provides direct links between financial and clinical systems. The globally unique GS1 identification keys for products and locations are at the heart of this solution enabling automation and traceability. In September 2014, St James’s Hospital went live with their first supplier, Cruinn Diagnostics. SJH now invites all suppliers to join the programme (which is based on the full adoption of GS1 standards).

Purpose/issues:

To fully standardise and automate the ordering process between the hospital and the supplier.

Benefits/findings:

Improved patient safety with consequential reduction in duplicate patient procedures

Increased ability for accurate traceability and recall

Standardisation and increased accuracy of product information

Elimination of inefficient paperwork and duplication of data input

Reductions in stock holdings and level of waste stocks

Reduction in number of credit notes generated

Automatic invoice matching

More efficient utilisation of supply chain management and finance resources.

Reference:

GS1 Healthcare Reference Book 2015/2016, page 23,

https://www.gs1.org/sites/default/files/docs/healthcare/gs1_healthcare_reference_book_2015-2016.pdf

15. Leeds Teaching Hospital takes huge savings in time and spends it on patient care

Leeds Teaching Hospital, England

Abstract:
Leeds Teaching Hospitals NHS Trust (LTHT) is one of the largest in England with more than 2,000 beds across eight hospitals. The two main hospitals are the Leeds General Infirmary and St James’ University Hospital with over 17,000 staff, 1.1 million out-patient appointments annually and delivering regional specialist care for up 5.4 million people.

Purpose/issues:

Based on the need for greater efficiencies, improved patient safety and lower costs, LTHT decided to focus on standardising the way it captured data.

Benefits/findings:

As a result, LTHT implemented Scan4Safety, a programme designed to leverage GS1 standards and barcodes to track patients, products and locations. The benefits for both LTHT and its patients have been immense. From improvements in inventory to more time with patients, Leeds hospitals are taking an incredible journey as they scan for safety.

Reference:
GS1 Healthcare Reference Book 2018/2019, page 46, https://www.gs1.org/sites/default/files/docs/healthcare/Reference-Book/190156_GS1_RB2018_Final_SinglePages_Web_092018.pdf

16. Using Global Location Numbers for a unique identification system in Swiss healthcare

Switzerland

Abstract:

In the early 1990s, a group of visionaries stated that the current way to identify actors in the Swiss healthcare industry was far from sustainable and very inefficient. Every actor— such as healthcare manufacturer, distributor, hospital, pharmacy or medical doctor—was identified in multiple ways. With lack of standardisation, accuracy was impossible and efficiencies in healthcare processes were nonexistent.

Purpose/issues:

The visionaries understood that new processes would only be possible if a robust, accurate and scalable identification system was provided by a neutral source for all of the Swiss healthcare industry. Now, for nearly 30 years, this solution enabled by the GS1 Global Location Number (GLN) has been in place. Global Location Numbers support the needed identification system by uniquely identifying each of the actors and their locations.

Benefits/findings:

The GLN has proven to be the “right choice” in standardising and simplifying the identification of all stakeholders, offering significant benefits for the Swiss healthcare system. By choosing the GS1 GLN as the global identification key, the visionaries have strengthened the use of GS1 standards in the healthcare industry and helped stakeholders understand how globally unique identification can link master data and improve logistical and clinical processes.

Reference:
GS1 Healthcare Reference Book 2018/2019, page 96,

https://www.gs1.org/sites/default/files/docs/healthcare/Reference-Book/190156_GS1_RB2018_Final_SinglePages_Web_092018.pdf

Refer to the Glossary on the GS1 website for a complete listing and definition of terms.

Healthcare GLN Implementation Guideline | GS1 (2024)
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