🏥 Banner Gateway Medical Center · Emergency Department
Monthly Operating Report
April 2026  ·  April 1–30, 2026  ·  30 Calendar Days
Reporting Period
April 2026
Prepared By
Eric Cummins, MD
ED Medical Director
🚑
4,311
Total ED Visits
AVG Daily: 143.7 pts
📅
143.7
Avg Daily Volume
WD 147.7 · WE 132.6
🏨
19.1%
Admission Rate
Inpt 11.7% · Obs 7.4%
🎯
88.3%
ESI 2 Seen <25 min
340 / 385
⏱️
3h 40m
Median DC LOS
ESI 2 D2D median: 11 min
🩺
18min
Median Door-to-Doc
All ESI levels
🚶
1.4%
LWOT Rate
60 patients
⚡
Provider Productivity — Patients per Hour by Clinician
Patients per Hour by Provider — April 2026  ·  Goal: ≥1.85 pt/hr
⬛ ≥1.88 pt/hr (⭐)  ·  🔷 <1.88 pt/hr  ·  Sorted highest → lowest  ·  Dashed = dept cohort avg (1.95 pt/hr)
📊 Dept Cohort Avg: 1.95 pt/hr  ·  ⭐ = ≥1.88 pt/hr
👨‍⚕️
Provider Discharge LOS — ESI 3, 4 & 5 Patients
Mean Discharge LOS by Provider (ESI 3/4/5, Discharged Only)  ·  🎯 Goal: <300 min
Sorted lowest → highest · Min 15 ESI 3/4/5 discharges · Minutes · 🟢 ≤240 min · 🔵 >240 min · 300-min reference line
⚡
Provider Productivity
⚡ April 2026 Productivity Metrics
Eligible Volume
4,251
4,311 total − 60 LWOT
Total Provider Hours
2,253.5
MD 1,268.25 + APC 985.25
Pt / Hr
1.89pts/hr
✅ ABOVE GOAL
Goal: 1.85  ·  +0.04 above
Adjusted PPH (aPPH)
2.41pts/hr
⚠️ BELOW GOAL
Goal: 2.45  ·  −0.04 below
📐 Pt/Hr = Eligible Volume ÷ (MD + APC Hours)  |  aPPH = Eligible Volume ÷ (MD Hours + 0.5 × APC Hours)  |  Adj Hours = 1,268.25 + (0.5 × 985.25) = 1,760.875  |  Goals: Pt/Hr ≥ 1.85  ·  aPPH ≥ 2.45
🏨
Admissions & Disposition Breakdown
Disposition CategoryCount% of Total
🏥 Admit to Inpatient50311.7%
🔭 Place in Observation3197.4%
📌 Combined Admission Rate (Inpt + Obs)82219.1%
🏠 Discharged (all categories)3,31176.8%
🚶 LWOT / Eloped601.4%
📝 AMA / Behavioral / Other1182.7%
🕐
Patient Arrival Volume by Hour
Average Arrivals per Hour of Day
Normalized by 30 distinct calendar days · April 2026
📆
Patient Arrival Volume by Day of Week
Average Daily Arrivals by Weekday  ·  ★ = Busiest Day
Sunday–Saturday · Bars show avg · Lines show daily high / low range for each weekday in April
🚶
LWOT Analysis by Hour
Total LWOT Events by Hour of Day
Left Without Treatment + Eloped · 60 total events in April · 🔴 17:00 = spike hour (8 events)
🎯
ESI 2 Door-to-Doc Time by Arrival Hour
Mean Door-to-Doc (ESI 2) by Hour of Arrival
Red dashed = 25-min target · 🔴 Bars above target · Hours 0–23 · Minutes
🎯 ESI 2 D2D Summary
Median ESI 2 D2D
11min
<25 Min Rate
88.3%
340 of 385 ESI 2 patients
✅ Strong
⚠️ Peak Delay Hour
14:00
35.8 min mean · 3× normal
Opportunity
🏥 Banner Gateway Medical Center · Emergency Department · Monthly Operating Report · April 2026  |  Internal Use Only · Prepared by Eric Cummins, MD