🏥 Banner Gateway Medical Center · Emergency Department
Monthly Operating Report
January 2026  ·  January 1–31, 2026  ·  31 Calendar Days
Reporting Period
January 2026
Prepared By
Eric Cummins, MD
ED Medical Director
4,345
Total ED Visits
AVG Daily: 140.2 pts
145.4
Avg Weekday Volume
WE avg: 127.3
18.2%
Admission Rate
Inpt 12.0% · Obs 6.2%
85.4%
ESI 2 Seen <25 min
42.9%
Rapid DC <180 min
3h 18m
Median DC LOS
Best of Q1 2026
15min
Median Door-to-Doc
ESI 2 median: 11 min
0.8%
LWOT Rate
35 patients — best Q1
◀ December 2025 ❄️ January 2026 February 2026 ▶
Provider Productivity — Patients per Hour by Clinician
Patients per Hour by Provider — January 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
Patients per Hour by Provider — January 2026
Sorted highest → lowest · Goal line at 1.85 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 · 🟢 ≤200 min · 🔵 >200 min · 200-min reference line
Provider Productivity
⚡ January 2026 Productivity Metrics
Eligible Volume
4,310
4,345 total − 35 LWOT
Total Provider Hours
2,256.33
MD 1,201.00 + APC 1,055.33
Pt / Hr
1.91pts/hr
✅ ABOVE GOAL
Goal: 1.85  ·  +0.06
Adjusted PPH (aPPH)
2.49pts/hr
✅ ABOVE GOAL
Goal: 2.45  ·  +0.04
📐 Pt/Hr = Eligible ÷ (MD + APC Hours)  |  aPPH = Eligible ÷ (MD + 0.5 × APC Hours) = 4,310 ÷ 1,728.665  |  Goals: Pt/Hr ≥ 1.85 · aPPH ≥ 2.45
Admissions & Disposition Breakdown
Disposition CategoryCount% of Total
🏥 Admit to Inpatient52012.0%
🔭 Place in Observation2696.2%
📌 Combined Admission Rate78918.2%
🏠 Discharged (all categories)3,39578.1%
🚶 LWOT / Eloped350.8%
📝 AMA / Behavioral / Other1262.9%
Patient Arrival Volume by Hour
Average Arrivals per Hour of Day
Normalized by 31 distinct calendar days · January 2026
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 · 35 total events · Lowest LWOT count of Q1 · Evening clustering 17:00–21:00
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 well within target · Hours 0–23
🎯 ESI 2 D2D Summary
Median ESI 2 D2D
11min
Overall (all ESI): 15 min ✅ best of Q1
<25 Min Rate
85.4%
373 of 437 ESI 2 patients
↑ vs Feb/Mar · ↓ vs Apr
Peak Hour
21:00
21.7 min — well within target ✅
All 24 hours <25 min
🏥 Banner Gateway Medical Center · Emergency Department · Monthly Operating Report · January 2026  |  Internal Use Only · Prepared by Eric Cummins, MD