🏥 Banner Gateway Medical Center · Emergency Department
Monthly Operating Report
February 2026  ·  February 1–28, 2026  ·  28 Calendar Days
Reporting Period
February 2026
Prepared By
Eric Cummins, MD
ED Medical Director
4,318
Total ED Visits
AVG Daily: 154.2 pts
160.8
Avg Weekday Volume
Highest weekday avg on record
17.7%
Admission Rate
Inpt 12.4% · Obs 5.3%
85.0%
ESI 2 Seen <25 min
38.7%
Rapid DC <180 min
3h 27m
Median DC LOS
Best of 3 months
19min
Median Door-to-Doc
ESI 2 median: 11 min
1.4%
LWOT Rate
60 patients
◀ January 2026 💝 February 2026 March 2026 ▶
Provider Productivity — Patients per Hour by Clinician
Patients per Hour by Provider — February 2026
⬛ ≥1.88 pt/hr (⭐)  ·  🔷 <1.88 pt/hr  ·  Sorted highest → lowest  ·  Dashed = dept cohort avg (2.08 pt/hr)
📊 Dept Cohort Avg: 2.08 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: <200 min
Sorted lowest → highest · Min 15 ESI 3/4/5 discharges · Minutes · 🟢 ≤200 min · 🔵 >200 min · 200-min reference line
Provider Productivity
⚡ February 2026 Productivity Metrics
Eligible Volume
4,258
4,318 total − 60 LWOT
Total Provider Hours
2,057.00
MD 1,095.00 + APC 962.00
Pt / Hr
2.07pts/hr
✅ ABOVE GOAL
Goal: 1.85  ·  +0.22
Adjusted PPH (aPPH)
2.70pts/hr
✅ ABOVE GOAL
Goal: 2.45  ·  +0.25
📐 Pt/Hr = Eligible ÷ (MD + APC Hours)  |  aPPH = Eligible ÷ (MD + 0.5 × APC Hours) = 4,258 ÷ 1,576.000  |  Goals: Pt/Hr ≥ 1.85 · aPPH ≥ 2.45
Admissions & Disposition Breakdown
Disposition CategoryCount% of Total
🏥 Admit to Inpatient53512.4%
🔭 Place in Observation2315.3%
📌 Combined Admission Rate76617.7%
🏠 Discharged (all categories)3,35877.8%
🚶 LWOT / Eloped601.4%
📝 AMA / Behavioral / Other1343.1%
Patient Arrival Volume by Hour
Average Arrivals per Hour of Day
Normalized by 28 distinct calendar days · February 2026 · 🔴 18:00 = 10.46 avg (peak hour)
Patient Arrival Volume by Day of Week
Average Daily Arrivals by Weekday  ·  ★ = Busiest Day
Sunday–Saturday · Bars = avg · Lines = daily high / low range
LWOT Analysis by Hour
Total LWOT Events by Hour of Day
Left Without Treatment + Eloped · 60 total events · 🔴 21:00 spike = 11 events — unusual late-night pattern
ESI 2 Door-to-Doc Time by Arrival Hour
Mean Door-to-Doc (ESI 2) by Hour of Arrival
Red dashed = 25-min target · All bars within target this month · Hours 0–23
🎯 ESI 2 D2D Summary
Median ESI 2 D2D
11min
<25 Min Rate
85.0%
346 of 407 ESI 2 patients
↓ vs April 88.3%
Peak Hour
20:00
24.0 min — within target ✅
No hours exceeded target
🏥 Banner Gateway Medical Center · Emergency Department · Monthly Operating Report · February 2026  |  Internal Use Only · Prepared by Eric Cummins, MD