Using GIS to monitor emergency room use in a large urban hospital in Chicago.

Geographic Information System (GIS) technology is being used at Mount Sinai Hospital in Chicago to better understand utilization patterns by the city's fire department and the subsequent effects on the rates of trauma cases who leave without being treated (LWOT) and throughput times. In this process, opportunities for process improvement in data capture, categorization, and analysis are being realized. Further, to more intelligently apply resources, a surge protocol has been developed calling for deploying physician assistants, which is having a positive effect on throughput times and LWOT rates. Finally, opportunities for GIS application in urban mass casualty planning are offered for consideration.