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

Provider Productivity — Patients per Hour by Clinician

Patients per Hour by Provider — June 2026 · Goal: ≥1.85 pt/hr

⬛ ≥1.88 pt/hr (⭐) · 🔷 <1.88 pt/hr · Sorted highest → lowest · Dashed = dept cohort avg (1.88 pt/hr)

📊 Dept Cohort Avg: 1.88 pt/hr · ⭐ = ≥1.88 pt/hr

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 · Minutes · 🟢 ≤200 min · 🔵 >200 min · 200-min reference line

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

🟢 ≤200 min 🔵 >200 min

Provider Productivity

🏖️ June 2026 Productivity Metrics

Eligible Volume

4,022

4,064 total − 42 LWOT

Total Provider Hours

2,154.75

MD 1,229.00 + APC 925.75†

Pt / Hr

1.87pts/hr

✅ ABOVE GOAL

Goal: 1.85 · +0.02 above

Adjusted PPH (aPPH)

2.38pts/hr

⚠️ BELOW GOAL

Goal: 2.45 · −0.07 below

📐 Pt/Hr = Eligible Volume ÷ (MD + APC Hours) | aPPH = Eligible Volume ÷ (MD Hours + 0.5 × APC Hours) | Adj Hours = 1,229.00 + (0.5 × 925.75) = 1,691.88 | Goals: Pt/Hr ≥ 1.85 · aPPH ≥ 2.45

† Robert Fakler PA's shift-log hours (229.50) were corrected to his actual 80.00 hours worked in June per direct confirmation; APC total reflects the correction.

Jan–Jun 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 ⚠️
📊 YTD Total	25,988	143.6	18.8%	1.1%	—	—	1.94 ✅	2.50 ✅

Admissions & Disposition Breakdown

Disposition Category	Count	% of Total
🏥 Admit to Inpatient	495	12.2%
🔭 Place in Observation	284	7.0%
📌 Combined Admission Rate (Inpt + Obs)	779	19.2%
🏠 Discharged (all categories)	3,138	77.2%
🚶 LWOT / Eloped	42	1.0%
📝 AMA / Behavioral / Other	105	2.6%

Patient Arrival Volume by Hour

Average Arrivals per Hour of Day

Normalized by 30 distinct calendar days · June 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 June

LWOT Analysis by Hour

Total LWOT Events by Hour of Day

Left Without Treatment + Eloped · 42 total events in June · 🔴 20:00 = spike hour (7 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 bars within target · Hours 0–23 · Minutes

🎯 ESI 2 D2D Summary

Median ESI 2 D2D

9min

<25 Min Rate

89.9%

331 of 368 ESI 2 patients

✅ Strong

⭐ Best Hour

01:00

3.0 min median · All hours ≤25 min

All Clear