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

Provider Productivity — Patients per Hour by Clinician

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

⬛ ≥1.88 pt/hr (⭐) · 🔷 <1.88 pt/hr · Sorted highest → lowest · Dashed = dept cohort avg (1.89 pt/hr)

📊 Dept Cohort Avg: 1.89 pt/hr · ⭐ = ≥1.88 pt/hr

† September individual Pt/Hr is computed directly from Excel encounter volume ÷ provider work hours (scheduling system work-hour report). Providers with very low monthly hours (single shifts) will show wider swings in either direction. One APC listed on the September APC schedule did not work at BGMC this month; those hours are excluded from both the individual chart and the department Pt/Hr and aPPH totals. Individual counts include 14 downtime encounters not captured in the Excel extract, credited to the treating physician.

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

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

🟢 ≤200 min 🔵 >200 min

Provider Productivity

🍂 September 2026 Productivity Metrics

Eligible Volume

4,340

4,392 total − 52 LWOT

Total Provider Hours

2,283.50

MD 1,291.75 + APC 991.75

Pt / Hr

1.90pts/hr

✅ ABOVE GOAL

Goal: 1.85 · +0.05 above

Adjusted PPH (aPPH)

2.43pts/hr

⚠️ BELOW GOAL

Goal: 2.45 · −0.02 below

📐 Pt/Hr = Eligible Volume ÷ (MD + APC Hours) | aPPH = Eligible Volume ÷ (MD Hours + 0.5 × APC Hours) | Adj Hours = 1,291.75 + (0.5 × 991.75) = 1,787.63 | Goals: Pt/Hr ≥ 1.85 · aPPH ≥ 2.45

Jan–Sep 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 ⚠️
🌻 August	4,558	147.0	18.2%	1.0%	3h 24m	19 min	1.98 ✅	2.54 ✅
🍂 September	4,392	146.4	19.4%	1.2%	3h 32m	18 min	1.90 ✅	2.43 ⚠️
📊 YTD Total	39,246	143.8	18.7%	1.2%	—	—	1.94 ✅	2.48 ✅

Admissions & Disposition Breakdown

Disposition Category	Count	% of Total
🏥 Admit to Inpatient	556	12.7%
🔭 Place in Observation	297	6.8%
📌 Combined Admission Rate (Inpt + Obs)	853	19.4%
🏠 Discharged (all categories)	3,372	76.8%
🚶 LWOT / Eloped	52	1.2%
📝 AMA / Behavioral / Other	115	2.6%

Patient Arrival Volume by Hour

Average Arrivals per Hour of Day

Normalized by 30 distinct calendar days · September 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 September · Monday busiest at 158.5/day

LWOT Analysis by Hour

Total LWOT Events by Hour of Day

Left Without Treatment + Eloped · 52 total events in September · 🔴 20:00 = 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 hourly medians within target · Hours 0–23 · Minutes

🎯 ESI 2 D2D Summary

Median ESI 2 D2D

11.5min

<25 Min Rate

85.0%

364 of 428 ESI 2 patients

⬆️ +1.5 pts vs August

⭐ Best Hour

03:00

4.5 min median · All hourly medians ≤25 min

All Clear