Original ArticlesGeographic Information Systems Can Enhance Crisis Standards of Care During Complex Emergencies and Disasters: A Strategy for Global Positioning System–Tracked, H2 Fuel Cell–Powered, and Knowledge-Optimized Point-of-Care Medical IntelligenceFerguson, William J. BS*; Louie, Richard F. PhD, FACB*; Tang, Chloe S. BS*; Vy, John H. BS*; Wallace, Andrew P. MS, MBA†; Peng, Linna S. BS†; Curtis, Corbin M. BS*; Kost, Gerald J. MD, PhD, MS, FACB*Author Information From the *Point-of-Care Testing Center for Teaching and Research (POCT·CTR) and the UC Davis Point-of-Care Technologies Center, School of Medicine, University of California, Davis and †SiGNa Chemistry, Inc, Davis, CA. Reprints: William J. Ferguson, BS, POCT·CTR, Pathology and Laboratory Medicine, University of California, Davis, 3455 Tupper Hall, Davis, CA 95616. E-mail: [email protected]. This study was supported primarily by the Point-of-Care Testing Center for Teaching and Research (POCT·CTR) and in part by a National Institute for Biomedical Imaging and Bioengineering (NIBIB) Point-of-Care Technologies Center grant (Dr Kost, principal investigator, National Institutes of Health [NIH] U54 EB007959). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIBIB or the NIH. The figures and tables were provided permission and courtesy of Knowledge Optimization®, Davis, California. The authors declare no conflict of interest. Point of Care: The Journal of Near-Patient Testing & Technology: December 2012 - Volume 11 - Issue 4 - p 184-190 doi: 10.1097/POC.0b013e3182666da9 Buy Metrics Abstract We hypothesize that a medical geographical information system (GIS) can improve medical response during complex emergencies and disasters by facilitating the strategic placement and management of point-of-care (POC) technologies within a small-world network (SWN). Point-of-care testing is defined as testing at or near the site of patient care. An SWN is a loosely tied and well-connected, but not necessarily evenly connected, set of nodes (vertices or system elements) in a scale-free network with a topology that is neither completely regular nor entirely random. Point-of-care technology, when properly placed in SWNs, can improve medical and economic outcomes during crises and also enhance daily health care delivery by promoting rapid response and faster therapeutic turnaround time. A GIS reveals patterns, relationships, and trends through the analysis of information as it pertains to its location on earth to improve efficiency, communication, and decision making. A GIS can help disaster managers make critical decisions by integrating, coordinating, and synthesizing medical and spatial data. Therefore, by combining these 3 strategies to overcome challenges associated with the implementation of POC testing directly in field sites, the GIS-POC-SWN approach will speed informed decision making, optimize POC medical intelligence, and enhance crisis standards of care. © 2012 Lippincott Williams & Wilkins, Inc.