🏥 Banner Gateway Medical Center · Emergency Department
Monthly Operating Report
March 2026  ·  March 1–31, 2026  ·  31 Calendar Days
Reporting Period
March 2026
Prepared By
Eric Cummins, MD
ED Medical Director
4,620
Total ED Visits
AVG Daily: 149.0 pts
149.0
Avg Daily Volume
WD 155.8 · WE 132.4
18.7%
Admission Rate
Inpt 12.7% · Obs 6.0%
83.0%
ESI 2 Seen <25 min
35.7%
Rapid DC <180 min
3h 36m
Median DC LOS
ESI 2 D2D median: 12 min
21min
Median Door-to-Doc
All ESI levels
1.6%
LWOT Rate
73 patients
◀ February 2026 🌱 March 2026 April 2026 ▶
Provider Productivity — Patients per Hour by Clinician
Patients per Hour by Provider — March 2026
⬛ ≥1.88 pt/hr (⭐)  ·  🔷 <1.88 pt/hr  ·  Sorted highest → lowest  ·  Dashed = dept cohort avg (1.98 pt/hr)
📊 Dept Cohort Avg: 1.98 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
⚡ March 2026 Productivity Metrics
Eligible Volume
4,547
4,620 total − 73 LWOT
Total Provider Hours
2,283.75
MD 1,286.00 + APC 997.75
Pt / Hr
1.99pts/hr
✅ ABOVE GOAL
Goal: 1.85  ·  +0.14
Adjusted PPH (aPPH)
2.55pts/hr
✅ ABOVE GOAL
Goal: 2.45  ·  +0.10
📐 Pt/Hr = Eligible ÷ (MD + APC Hours)  |  aPPH = Eligible ÷ (MD + 0.5 × APC Hours) = 4,547 ÷ 1,784.875  |  Goals: Pt/Hr ≥ 1.85 · aPPH ≥ 2.45
Admissions & Disposition Breakdown
Disposition CategoryCount% of Total
🏥 Admit to Inpatient58812.7%
🔭 Place in Observation2786.0%
📌 Combined Admission Rate (Inpt + Obs)86618.7%
🏠 Discharged (all categories)3,54076.6%
🚶 LWOT / Eloped731.6%
📝 AMA / Behavioral / Other1413.1%
Patient Arrival Volume by Hour
Average Arrivals per Hour of Day
Normalized by 31 distinct calendar days · March 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 · 73 total events · 🔴 18:00 spike hour (9 events)
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 · Minutes
🎯 ESI 2 D2D Summary
Median ESI 2 D2D
12min
<25 Min Rate
83.0%
387 of 466 ESI 2 patients
⚠️ Down from 88.3%
No hours above target ✅
Peak: 19:00
20.3 min mean · within target
All hours <25 min
🏥 Banner Gateway Medical Center · Emergency Department · Monthly Operating Report · March 2026  |  Internal Use Only · Prepared by Eric Cummins, MD