🏥 Banner Gateway Medical Center · Emergency Department
Monthly Operating Report
August 2026  ·  August 1–31, 2026  ·  31 Calendar Days
Reporting Period
August 2026
Prepared By
Eric Cummins, MD
ED Medical Director
4,558
Total ED Visits
AVG Daily: 147.0 pts
147.0
Avg Daily Volume
WD 152.9 · WE 134.8
18.2%
Admission Rate
Inpt 12.1% · Obs 6.1%
83.5%
ESI 2 Seen <25 min
40.7%
Rapid DC <180 min
3h 24m
Median DC LOS
ESI 2 D2D median: 11 min
19min
Median Door-to-Doc
All ESI levels
1.0%
LWOT Rate
46 patients
← Jan Feb Mar Apr May Jun Jul Aug 🌻 Sep →
Provider Productivity — Patients per Hour by Clinician
Patients per Hour by Provider — August 2026  ·  Goal: ≥1.85 pt/hr
⬛ ≥1.88 pt/hr (⭐)  ·  🔷 <1.88 pt/hr  ·  Sorted highest → lowest  ·  Dashed = dept cohort avg (1.97 pt/hr)
📊 Dept Cohort Avg: 1.97 pt/hr  ·  ⭐ = ≥1.88 pt/hr
† August individual Pt/Hr is computed directly from Excel encounter volume ÷ provider work hours (scheduling system work-hour report). Providers with very low monthly hours (single shifts) will show wider swings in either direction. One APC who covered a single 6-hour ED shift is included in the department Pt/Hr and aPPH totals but is not charted individually, since a single short shift is not a meaningful individual rate.
Patients per Hour — Ranked Best → Lowest
⭐ ≥1.88 pt/hr <1.88 pt/hr
Provider Discharge LOS — ESI 3, 4 & 5 Patients
Median Discharge LOS by Provider (ESI 3/4/5, Discharged Only)  ·  🎯 Goal: <200 min
Sorted lowest → highest · Min 15 ESI 3/4/5 discharges (August 2026) · Minutes · 🟢 ≤200 min · 🔵 >200 min · 200-min reference line
Discharge LOS — Best → Highest (≤200 min goal)
🟢 ≤200 min 🔵 >200 min
Provider Productivity
🌻 August 2026 Productivity Metrics
Eligible Volume
4,512
4,558 total − 46 LWOT
Total Provider Hours
2,273.75
MD 1,278.00 + APC 995.75
Pt / Hr
1.98pts/hr
✅ ABOVE GOAL
Goal: 1.85  ·  +0.13 above
Adjusted PPH (aPPH)
2.54pts/hr
✅ ABOVE GOAL
Goal: 2.45  ·  +0.09 above
📐 Pt/Hr = Eligible Volume ÷ (MD + APC Hours)  |  aPPH = Eligible Volume ÷ (MD Hours + 0.5 × APC Hours)  |  Adj Hours = 1,278.00 + (0.5 × 995.75) = 1,775.88  |  Goals: Pt/Hr ≥ 1.85  ·  aPPH ≥ 2.45
Jan–Aug YTD Trend Summary
Month Total Visits Avg Daily Admit Rate LWOT % Median DC LOS Median D2D Pt/Hr aPPH
❄️ January4,345140.218.3%0.9%3h 21m18 min 1.91 ✅ 2.49 ✅
💝 February4,318154.218.1%1.0%3h 23m18 min 2.07 ✅ 2.70 ✅
🌱 March4,620149.018.9%1.1%3h 28m19 min 1.99 ✅ 2.55 ✅
🌸 April4,311143.719.1%1.4%3h 40m18 min 1.89 ✅ 2.41 ⚠️
☀️ May4,330139.718.9%1.1%3h 35m19 min 1.92 ✅ 2.44 ⚠️
🏖️ June4,064135.519.2%1.0%3h 36m17 min 1.87 ✅ 2.38 ⚠️
🎆 July4,308139.019.2%1.3%3h 41m20 min 1.91 ✅ 2.44 ⚠️
🌻 August4,558147.018.2%1.0%3h 24m19 min 1.98 ✅ 2.54 ✅
📊 YTD Total34,854143.418.6%1.2%—— 1.94 ✅ 2.49 ✅
Admissions & Disposition Breakdown
Disposition CategoryCount% of Total
🏥 Admit to Inpatient55012.1%
🔭 Place in Observation2806.1%
📌 Combined Admission Rate (Inpt + Obs)83018.2%
🏠 Discharged (all categories)3,55378.0%
🚶 LWOT / Eloped461.0%
📝 AMA / Behavioral / Other1292.8%
Patient Arrival Volume by Hour
Average Arrivals per Hour of Day
Normalized by 31 distinct calendar days · August 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 August · Mon & Wed tied at 156.0/day
LWOT Analysis by Hour
Total LWOT Events by Hour of Day
Left Without Treatment + Eloped · 46 total events in August · 🔴 17:00 = spike hour (8 events)
ESI 2 Door-to-Doc Time by Arrival Hour
Median Door-to-Doc (ESI 2) by Hour of Arrival
Red dashed = 25-min target · All hourly medians within target · Hours 0–23 · Minutes
🎯 ESI 2 D2D Summary
Median ESI 2 D2D
11min
<25 Min Rate
83.5%
360 of 431 ESI 2 patients
⬆️ +5.1 pts vs July
⭐ Best Hour
02:00
4.0 min median · All hourly medians ≤25 min
All Clear
🏥 Banner Gateway Medical Center · Emergency Department · Monthly Operating Report · August 2026  |  Internal Use Only · Prepared by Eric Cummins, MD