🏥 Banner Gateway Medical Center · Emergency Department
Monthly Operating Report
May 2026  ·  May 1–31, 2026  ·  31 Calendar Days
Reporting Period
May 2026
Prepared By
Eric Cummins, MD
ED Medical Director
4,330
Total ED Visits
AVG Daily: 139.7 pts
139.7
Avg Daily Volume
WD 147.0 · WE 124.5
18.9%
Admission Rate
Inpt 12.5% · Obs 6.4%
87.8%
ESI 2 Seen <25 min
36.8%
Rapid DC <180 min
3h 35m
Median DC LOS
ESI 2 D2D median: 11 min
19min
Median Door-to-Doc
All ESI levels
1.1%
LWOT Rate
46 patients
Jan Feb Mar Apr May ☀️ Jun
Provider Productivity — Patients per Hour by Clinician
Patients per Hour by Provider — May 2026  ·  Goal: ≥1.85 pt/hr
⬛ ≥1.88 pt/hr (⭐)  ·  🔷 <1.88 pt/hr  ·  Sorted highest → lowest  ·  Dashed = dept cohort avg (1.91 pt/hr)
📊 Dept Cohort Avg: 1.91 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
☀️ May 2026 Productivity Metrics
Eligible Volume
4,284
4,330 total − 46 LWOT
Total Provider Hours
2,232.3
MD 1,279.25 + APC 953.0
Pt / Hr
1.92pts/hr
✅ ABOVE GOAL
Goal: 1.85  ·  +0.07 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 = 1,279.25 + (0.5 × 953.0) = 1,755.75  |  Goals: Pt/Hr ≥ 1.85  ·  aPPH ≥ 2.45
Q1–Q2 YTD Trend Summary
Month Total Visits Avg Daily Admit Rate LWOT % Median DC LOS Median D2D Pt/Hr aPPH
❄️ January4,345140.218.3%0.9%3h 21m18 min 1.91 ✅ 2.49 ✅
💝 February4,318154.218.1%1.0%3h 23m18 min 2.07 ✅ 2.70 ✅
🌱 March4,620149.018.9%1.1%3h 28m19 min 1.99 ✅ 2.55 ✅
🌸 April4,311143.719.1%1.4%3h 40m18 min 1.89 ✅ 2.41 ⚠️
☀️ May4,330139.718.9%1.1%3h 35m19 min 1.92 ✅ 2.44 ⚠️
📊 YTD Total21,924145.218.7%1.1% 1.96 ✅ 2.52 ✅
Admissions & Disposition Breakdown
Disposition CategoryCount% of Total
🏥 Admit to Inpatient54112.5%
🔭 Place in Observation2756.4%
📌 Combined Admission Rate (Inpt + Obs)81618.9%
🏠 Discharged (all categories)3,33176.9%
🚶 LWOT / Eloped461.1%
📝 AMA / Behavioral / Other1373.2%
Patient Arrival Volume by Hour
Average Arrivals per Hour of Day
Normalized by 31 distinct calendar days · May 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 May
LWOT Analysis by Hour
Total LWOT Events by Hour of Day
Left Without Treatment + Eloped · 46 total events in May · 🔴 19:00 = spike hour (6 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
11min
<25 Min Rate
87.8%
325 of 370 ESI 2 patients
✅ Strong
⭐ Best Hour
06:00
5.5 min median · All hours ≤25 min
All Clear