ED Monthly Operating Report — July 2026 | Banner Gateway Medical Center

Provider Productivity — Patients per Hour by Clinician

Patients per Hour by Provider — July 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

† July individual Pt/Hr is computed directly from Excel encounter volume ÷ provider work hours (no TeamHealth screenshot was provided this month).

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 (July 2026) · Minutes · 🟢 ≤200 min · 🔵 >200 min · 200-min reference line

Discharge LOS — Best → Highest (≤200 min goal)

🟢 ≤200 min 🔵 >200 min

Provider Productivity

🎆 July 2026 Productivity Metrics

Eligible Volume

4,251

4,308 total − 57 LWOT

Total Provider Hours

2,230.25

MD 1,260.75 + APC 969.50

Pt / Hr

1.91pts/hr

✅ ABOVE GOAL

Goal: 1.85 · +0.06 above

Adjusted PPH (aPPH)

2.44pts/hr

⚠️ BELOW GOAL

Goal: 2.45 · −0.01 below

📐 Pt/Hr = Eligible Volume ÷ (MD + APC Hours) | aPPH = Eligible Volume ÷ (MD Hours + 0.5 × APC Hours) | Adj Hours = 1,260.75 + (0.5 × 969.50) = 1,745.50 | Goals: Pt/Hr ≥ 1.85 · aPPH ≥ 2.45

Jan–Jul YTD Trend Summary

Month	Total Visits	Avg Daily	Admit Rate	LWOT %	Median DC LOS	Median D2D	Pt/Hr	aPPH
❄️ January	4,345	140.2	18.3%	0.9%	3h 21m	18 min	1.91 ✅	2.49 ✅
💝 February	4,318	154.2	18.1%	1.0%	3h 23m	18 min	2.07 ✅	2.70 ✅
🌱 March	4,620	149.0	18.9%	1.1%	3h 28m	19 min	1.99 ✅	2.55 ✅
🌸 April	4,311	143.7	19.1%	1.4%	3h 40m	18 min	1.89 ✅	2.41 ⚠️
☀️ May	4,330	139.7	18.9%	1.1%	3h 35m	19 min	1.92 ✅	2.44 ⚠️
🏖️ June	4,064	135.5	19.2%	1.0%	3h 36m	17 min	1.87 ✅	2.38 ⚠️
🎆 July	4,308	139.0	19.2%	1.3%	3h 41m	20 min	1.91 ✅	2.44 ⚠️
📊 YTD Total	30,296	142.9	18.7%	1.2%	—	—	1.93 ✅	2.48 ✅

Admissions & Disposition Breakdown

Disposition Category	Count	% of Total
🏥 Admit to Inpatient	518	12.0%
🔭 Place in Observation	311	7.2%
📌 Combined Admission Rate (Inpt + Obs)	829	19.2%
🏠 Discharged (all categories)	3,309	76.8%
🚶 LWOT / Eloped	57	1.3%
📝 AMA / Behavioral / Other	113	2.6%

Patient Arrival Volume by Hour

Average Arrivals per Hour of Day

Normalized by 31 distinct calendar days · July 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 July

LWOT Analysis by Hour

Total LWOT Events by Hour of Day

Left Without Treatment + Eloped · 57 total events in July · 🔴 18:00 = 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

13min

<25 Min Rate

78.4%

330 of 421 ESI 2 patients

⚠️ Below Prior Month

⭐ Best Hour

06:00

3.5 min median · All hourly medians ≤25 min

All Clear