gs1 ecom harmonisation in healthcare · gs1 ecom harmonisation in healthcare hans lunenborg...
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GS1 eCom Harmonisation in Healthcare
Hans Lunenborg
Sectormanager Healthcare
GS1 Netherlands
© 2014 GS1
Agenda
2
• eCom standards
• Businesscases and Best Practices
• Global eCom Harmonisation
• Healthcare Interoperability Model (HIM)
– Fase I
– Fase II
• Your help is needed!
• Consignment
• Peppol
© 2014 GS1
The GS1 System
© 2014 GS1
Supply chain visibility according to GS1
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© 2014 GS1
Manufacturer Careprovider
EnterpriseApplications
ASN
Delivery
GRN
Invoice
Invoice Errors
Query Resolution
Payment
EDI / INT
EnterpriseApplications
EDIGateway
EAI EAI
EDIGateway
Master Data Synchronisation
EPC Object& Event Data Transmission
Object
DataObject
Data
RFID/Barcodes Tagged Pallets & Cases
CRM
WMSTM
FIN ERP
PIM
WMS
TM
EPOS
MMPIM
Space MgtCat Mgt
SCM
B2C
Order
Supply chain visibility according to GS1
© 2014 GS1
IT Standards of eCommerce
Supply
PurchaseInvoice
ICD/OPS
ClaML
DICOM
ANSIX12
ebXML
HIBC
UMDNS/GMDNSSCC
PZN/PPN
HL7 V2/V2/CDA
ATC
EANCOM / GS1 XML
CPV
GTINecl@ss
GLN
DUNS-No.
UBL-xml
(Peppol 2,0)
un/cefact cladimed
xCBL (xml)
PATIENT
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GS1 XML implementation trend
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10000
15000
20000
25000
30000
35000
200
5
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9
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0
201
1
201
2
201
3
201
4F
ore
ca
st
GS1 XML adoption 2005-2013
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GS1 EANCOM® implementation trend
0
20000
40000
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80000
100000
120000
200
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200
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200
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200
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200
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201
0
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1
201
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4F
ore
ca
st
GS1 EANCOM adoption 2005-2013
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Web EDI implementation trend
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20000
40000
60000
80000
100000
120000
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0
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4F
ore
ca
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Web EDI adoption 2005-2013
© 2014 GS1
eCom implementation geography
EANCOM implemented
Both GS1 XML and EANCOM implemented
Only non-GS1 eCom standards implemented
GS1 XML implemented
No eCom standards implemented
Non-GS1 member countries (no data available)
© 2014 GS1
Businesscases on standards
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© 2014 GS112
New McKinsey report “Strength in unity: The promise of global standards in healthcare”
Highlights the cost savings and patient safety benefits of adopting a single global supply chain standard in healthcare
Available at:
http://www.gs1.org/healthcare/mckinsey
New McKinsey & Company report on benefits of a single global standard
Source: http://www.mckinsey.com
© 2014 GS1
Huge cost savings and patient safety benefits when adopting a single global standard in healthcare
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• “Implementing global standards across the entire healthcare supply chain could save 22,000-43,000 lives and avert 0.7 million to 1.4 million patient disabilities”
• “Rolling out such standards-based systems globally could prevent tens of millions of dollars’ worth of counterfeit drugs from entering the legitimate supply chain”
• [We] “estimate that healthcare cost could be reduced by $40 billion-$100 billion globally” from the implementation of global standards
• “Adopting a single set of global standards will cost significantly less than two” (between 10-25% less cost to stakeholders)
SOURCE: McKinsey report, “Strength in unity: The promise of global standards in healthcare”, October 2012
© 2014 GS1
GHX 2009
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© 2014 GS1
B&D and Mercy/ROi
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The Perfect Order
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Discussions and StatementsCustomer:
We only accept format XXX, it is decided in our
local GS1 group to use it !
Customer:
We only accept format XXX, it is decided in our
local GS1 group to use it !
Solution Provider:You can get each format you want to
your customer, costs are xxx !
Solution Provider:You can get each format you want to
your customer, costs are xxx !IT Manufact
Why do we use a standard if the same
process is used different in different countries !
IT Manufact
Why do we use a standard if the same
process is used different in different countries !
Board of Manufact
How far away are we in using standards even
the GS1 standards are not harmonized
globally. Do we use the only the GTIN as an
result
Board of Manufact
How far away are we in using standards even
the GS1 standards are not harmonized
globally. Do we use the only the GTIN as an
result
IT ManufactCurrently we
have no resources to do
that !
IT ManufactCurrently we
have no resources to do
that !
IT Manufact
If there are some major changes I have to change it several
times !
IT Manufact
If there are some major changes I have to change it several
times !IT Manufact
Why can‘t we use what we already have
realized
IT Manufact
Why can‘t we use what we already have
realized
Board of Manufact
GS1 is a Global Organization. Our
expectations to them were global
harmonization of standards !
Board of Manufact
GS1 is a Global Organization. Our
expectations to them were global
harmonization of standards !
Board of ManufactIt is responsibility of department Global eCommerce & Auto
ID to harmonize standards
Board of ManufactIt is responsibility of department Global eCommerce & Auto
ID to harmonize standards
Board of Manufact
If we are able to harmonize processes in
SAP why isn’t the healthcare market in
different countries able to harmonize?
Board of Manufact
If we are able to harmonize processes in
SAP why isn’t the healthcare market in
different countries able to harmonize?
IT Manufact
Costs for developing and testing of each format are xxx
IT Manufact
Costs for developing and testing of each format are xxx
© 2014 GS1
1 Format in EANCOM and GS1-XML ?
80 – 90 % Global harmonized data and use
10 – 20 %
Country specific
add-ons
Key factor is harmonization of business processes!!
© 2014 GS1
Healthcare Interoperability Model(HIM)
GOAL:
Develop a framework to align GS1 eCom standards so they can be used throughout the Global Healthcare
supply chain from supplier to logistic end-user
HOW:
Define a common Global Healthcare Process Model
© 2014 GS1
Process Model Order to Cash
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Fase I: processmodel Order to Cash
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© 2014 GS1
Business Document Specificationfor implementing Ordermessages
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Fase I: Order to Cash
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Fase II
© 2014 GS1
Fase II:
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•Consignment
•Masterdata
•Invoice
© 2014 GS132
Consigment - Vendor ManagedInventory (VMI)
• The consignment process is controlled by the supplier (VMI)
Hospital
Removal ofgoods
Delivery ofgoods
Goodsreceipt
Goods
RemovalStock report
VMI Planningconsignment goods
Delivery
Delivery
goods Receipt
Consignmentremoval
Consignmentremoval
InvoiceInvoice Invoice
Self billing
Order Basic Requirement
Supplier / Manufacturer
InventoryReports
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Consigment - Buyer ManagedInventory (BMI)
• The consignment process is controlled by the hospital (BMI)
Supplier / Manufacturer
Hospital
Ordering ofgoods
Order response
Delivery ofgoods
Goodsreceipt
Goods
OrderConsignment goods
Orderconsignment goods
Delivery
Delivery
goods Receipt
ConsignmentWarehouse
InventoryReports
Consignmentremoval
InvoiceInvoice
Removal ofgoods
Invoice
Self billing
© 2014 GS136
We need your help!!!
The basic “consignment stock” process can be described as two stages:
(1) An establishment and a replenishment stage:
List new items and to store them in the hospital warehouse
Reconciliation of the stock to maintain stock accuracy
Replace stock that has been consumed
Plan the demand for stock to cover future clinical procedures.
(2) A consumption (usage) and payment:
As the stock is used this stage triggers the manufacturer to raise an invoice.
© 2014 GS137
We need your help!!!
• Do you use consignment stock?
• Which processes do you use?
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We need your help!!!
Please fill in the questionnaire at:
https://gs1.wufoo.eu/forms/consignment-stock-questionnaire/
© 2014 GS139
We need your help!!!
• Peppol:
• What information do you have about Peppol?
© 2014 GS1
Questions?
40
