πŸ₯ Banner Gateway Medical Center Β· Emergency Department
Monthly Operating Report
May 2026  Β·  May 1–31, 2026  Β·  31 Calendar Days
Reporting Period
May 2026
Prepared By
Eric Cummins, MD
ED Medical Director
πŸš‘
4,330
Total ED Visits
AVG Daily: 139.7 pts
πŸ“…
139.7
Avg Daily Volume
WD 147.0 Β· WE 124.5
🏨
18.9%
Admission Rate
Inpt 12.5% Β· Obs 6.4%
🎯
87.8%
ESI 2 Seen <25 min
325 / 370
⏱️
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 β˜€οΈ Jun β†’
⚑
Provider Productivity β€” Patients per Hour by Clinician
Patients per Hour by Provider β€” May 2026  Β·  Goal: β‰₯1.85 pt/hr
⬛ β‰₯1.88 pt/hr (⭐)  Β·  πŸ”· <1.88 pt/hr  Β·  Sorted highest β†’ lowest  Β·  Dashed = dept cohort avg (1.91 pt/hr)
πŸ“Š Dept Cohort Avg: 1.91 pt/hr  Β·  ⭐ = β‰₯1.88 pt/hr
Patients per Hour β€” Ranked Best β†’ Lowest
⭐ β‰₯1.88 pt/hr <1.88 pt/hr
πŸ‘¨β€βš•οΈ
Provider Discharge LOS β€” ESI 3, 4 & 5 Patients
Median Discharge LOS by Provider (ESI 3/4/5, Discharged Only)  Β·  🎯 Goal: <200 min
Sorted lowest β†’ highest Β· Min 15 ESI 3/4/5 discharges Β· Minutes Β· 🟒 ≀200 min Β· πŸ”΅ >200 min Β· 200-min reference line
Discharge LOS β€” Best β†’ Highest (≀200 min goal)
🟒 ≀200 min πŸ”΅ >200 min
⚑
Provider Productivity
β˜€οΈ May 2026 Productivity Metrics
Eligible Volume
4,284
4,330 total βˆ’ 46 LWOT
Total Provider Hours
2,232.3
MD 1,279.25 + APC 953.0
Pt / Hr
1.92pts/hr
βœ… ABOVE GOAL
Goal: 1.85  Β·  +0.07 above
Adjusted PPH (aPPH)
2.44pts/hr
⚠️ BELOW GOAL
Goal: 2.45  Β·  βˆ’0.01 below
πŸ“ Pt/Hr = Eligible Volume Γ· (MD + APC Hours)  |  aPPH = Eligible Volume Γ· (MD Hours + 0.5 Γ— APC Hours)  |  Adj Hours = 1,279.25 + (0.5 Γ— 953.0) = 1,755.75  |  Goals: Pt/Hr β‰₯ 1.85  Β·  aPPH β‰₯ 2.45
πŸ“ˆ
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 βœ… 2.49 βœ…
πŸ’ February4,318154.218.1%1.0%3h 23m18 min 2.07 βœ… 2.70 βœ…
🌱 March4,620149.018.9%1.1%3h 28m19 min 1.99 βœ… 2.55 βœ…
🌸 April4,311143.719.1%1.4%3h 40m18 min 1.89 βœ… 2.41 ⚠️
β˜€οΈ May4,330139.718.9%1.1%3h 35m19 min 1.92 βœ… 2.44 ⚠️
πŸ“Š YTD Total21,924145.218.7%1.1%β€”β€” 1.96 βœ… 2.52 βœ…
🏨
Admissions & Disposition Breakdown
Disposition CategoryCount% of Total
πŸ₯ Admit to Inpatient54112.5%
πŸ”­ Place in Observation2756.4%
πŸ“Œ Combined Admission Rate (Inpt + Obs)81618.9%
🏠 Discharged (all categories)3,33176.9%
🚢 LWOT / Eloped461.1%
πŸ“ AMA / Behavioral / Other1373.2%
πŸ•
Patient Arrival Volume by Hour
Average Arrivals per Hour of Day
Normalized by 31 distinct calendar days Β· May 2026
πŸ“†
Patient Arrival Volume by Day of Week
Average Daily Arrivals by Weekday  Β·  β˜… = Busiest Day
Sunday–Saturday Β· Bars show avg Β· 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 Β· 46 total events in May Β· πŸ”΄ 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 Β· All bars within target Β· Hours 0–23 Β· Minutes
🎯 ESI 2 D2D Summary
Median ESI 2 D2D
11min
<25 Min Rate
87.8%
325 of 370 ESI 2 patients
βœ… Strong
⭐ Best Hour
06:00
5.5 min median Β· All hours ≀25 min
All Clear