ER patterns · Riverbend Emergency Cleveland

walkout rate by day-of-week × hour · 240d window · 6,450 visits in scope
READ-ONLY · NEVER-SEND · TCPA-CLEAN
last sync: 2026-06-01 17:44 UTC
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Friday 21:00–01:00 walkout rate is 16.1%. The rest of the week sits at 6.6%.
285 ER arrivals in the Friday late window; 46 walked out. At our $220 per-triage estimate, that's $10.1K of forgone revenue in the cluster alone, with $5.9K directly recoverable if the cluster fell to the baseline walkout rate. The seeded cause in our synthetic data is no-DVM-on-shift weeks (CVT-only Fri 21:00 coverage). The matching operational fix is a DVM rotation onto the Friday late shift and a written locum-cover plan for the remaining Fridays — a scheduling recommendation, measured only; nobody is contacted. Veterinary ER walkout rates are not published as a public benchmark, so this 6–7% baseline is a Central Uplift estimate; Instinct's State of ER & Specialty Veterinary Care 2024 found 16% of ER patients wait more than two hours, consistent with walkouts being a real, material loss.
ER visits (240d)
6,450
walkouts
455
site-wide rate: 7.1%
Fri-late excess
27
walkouts above baseline
recoverable
$5.9K
if cluster → baseline

Walkout heatmap · day-of-week × hour

0006121823SunMonTueWedThuFriSatSun 00:00 — 7.1% walkout · 42 visitsSun 01:00 — 0.0% walkout · 36 visitsSun 02:00 — 6.3% walkout · 48 visitsSun 03:00 — 5.6% walkout · 36 visitsSun 04:00 — 0.0% walkout · 35 visitsSun 05:00 — 6.1% walkout · 49 visitsSun 06:00 — 5.6% walkout · 36 visitsSun 07:00 — 4.8% walkout · 42 visitsSun 08:00 — 0.0% walkout · 30 visitsSun 09:00 — 5.0% walkout · 40 visitsSun 10:00 — 12.1% walkout · 33 visitsSun 11:00 — 8.7% walkout · 46 visitsSun 12:00 — 5.4% walkout · 37 visitsSun 13:00 — 9.5% walkout · 42 visitsSun 14:00 — 2.0% walkout · 51 visitsSun 15:00 — 5.4% walkout · 37 visitsSun 16:00 — 0.0% walkout · 37 visitsSun 17:00 — 0.0% walkout · 33 visitsSun 18:00 — 3.0% walkout · 33 visitsSun 19:00 — 9.1% walkout · 33 visitsSun 20:00 — 5.7% walkout · 35 visitsSun 21:00 — 10.3% walkout · 29 visitsSun 22:00 — 7.5% walkout · 40 visitsSun 23:00 — 8.7% walkout · 46 visitsMon 00:00 — 4.4% walkout · 45 visitsMon 01:00 — 3.3% walkout · 30 visitsMon 02:00 — 0.0% walkout · 24 visitsMon 03:00 — 11.6% walkout · 43 visitsMon 04:00 — 9.4% walkout · 32 visitsMon 05:00 — 17.9% walkout · 39 visitsMon 06:00 — 2.0% walkout · 49 visitsMon 07:00 — 8.6% walkout · 35 visitsMon 08:00 — 3.9% walkout · 51 visitsMon 09:00 — 2.4% walkout · 42 visitsMon 10:00 — 4.9% walkout · 41 visitsMon 11:00 — 0.0% walkout · 40 visitsMon 12:00 — 5.0% walkout · 40 visitsMon 13:00 — 4.4% walkout · 45 visitsMon 14:00 — 2.9% walkout · 35 visitsMon 15:00 — 2.7% walkout · 37 visitsMon 16:00 — 9.1% walkout · 33 visitsMon 17:00 — 4.7% walkout · 43 visitsMon 18:00 — 2.8% walkout · 36 visitsMon 19:00 — 8.3% walkout · 36 visitsMon 20:00 — 4.7% walkout · 43 visitsMon 21:00 — 7.5% walkout · 40 visitsMon 22:00 — 8.1% walkout · 37 visitsMon 23:00 — 2.6% walkout · 39 visitsTue 00:00 — 10.9% walkout · 46 visitsTue 01:00 — 7.7% walkout · 26 visitsTue 02:00 — 11.6% walkout · 43 visitsTue 03:00 — 7.1% walkout · 42 visitsTue 04:00 — 3.1% walkout · 32 visitsTue 05:00 — 15.1% walkout · 53 visitsTue 06:00 — 2.9% walkout · 35 visitsTue 07:00 — 6.3% walkout · 32 visitsTue 08:00 — 9.3% walkout · 43 visitsTue 09:00 — 4.8% walkout · 42 visitsTue 10:00 — 2.5% walkout · 40 visitsTue 11:00 — 5.0% walkout · 40 visitsTue 12:00 — 8.1% walkout · 37 visitsTue 13:00 — 6.1% walkout · 49 visitsTue 14:00 — 3.1% walkout · 32 visitsTue 15:00 — 0.0% walkout · 29 visitsTue 16:00 — 2.0% walkout · 51 visitsTue 17:00 — 2.8% walkout · 36 visitsTue 18:00 — 12.8% walkout · 47 visitsTue 19:00 — 2.8% walkout · 36 visitsTue 20:00 — 15.2% walkout · 33 visitsTue 21:00 — 11.4% walkout · 35 visitsTue 22:00 — 2.6% walkout · 38 visitsTue 23:00 — 3.4% walkout · 29 visitsWed 00:00 — 4.5% walkout · 44 visitsWed 01:00 — 2.4% walkout · 41 visitsWed 02:00 — 0.0% walkout · 38 visitsWed 03:00 — 4.5% walkout · 44 visitsWed 04:00 — 2.2% walkout · 46 visitsWed 05:00 — 5.9% walkout · 51 visitsWed 06:00 — 5.9% walkout · 34 visitsWed 07:00 — 2.8% walkout · 36 visitsWed 08:00 — 10.0% walkout · 40 visitsWed 09:00 — 13.8% walkout · 29 visitsWed 10:00 — 9.4% walkout · 32 visitsWed 11:00 — 14.0% walkout · 50 visitsWed 12:00 — 14.7% walkout · 34 visitsWed 13:00 — 5.4% walkout · 37 visitsWed 14:00 — 2.8% walkout · 36 visitsWed 15:00 — 7.1% walkout · 42 visitsWed 16:00 — 2.2% walkout · 45 visitsWed 17:00 — 2.8% walkout · 36 visitsWed 18:00 — 7.1% walkout · 28 visitsWed 19:00 — 7.0% walkout · 43 visitsWed 20:00 — 4.7% walkout · 43 visitsWed 21:00 — 15.4% walkout · 39 visitsWed 22:00 — 6.9% walkout · 29 visitsWed 23:00 — 9.5% walkout · 42 visitsThu 00:00 — 2.5% walkout · 40 visitsThu 01:00 — 4.8% walkout · 42 visitsThu 02:00 — 2.8% walkout · 36 visitsThu 03:00 — 5.4% walkout · 37 visitsThu 04:00 — 7.9% walkout · 38 visitsThu 05:00 — 6.3% walkout · 32 visitsThu 06:00 — 5.3% walkout · 38 visitsThu 07:00 — 3.0% walkout · 33 visitsThu 08:00 — 6.5% walkout · 31 visitsThu 09:00 — 9.1% walkout · 33 visitsThu 10:00 — 5.7% walkout · 35 visitsThu 11:00 — 5.6% walkout · 36 visitsThu 12:00 — 12.5% walkout · 40 visitsThu 13:00 — 5.9% walkout · 34 visitsThu 14:00 — 5.0% walkout · 40 visitsThu 15:00 — 8.3% walkout · 36 visitsThu 16:00 — 2.6% walkout · 38 visitsThu 17:00 — 4.0% walkout · 50 visitsThu 18:00 — 4.0% walkout · 50 visitsThu 19:00 — 2.5% walkout · 40 visitsThu 20:00 — 7.7% walkout · 39 visitsThu 21:00 — 4.7% walkout · 43 visitsThu 22:00 — 5.1% walkout · 39 visitsThu 23:00 — 8.3% walkout · 48 visitsFri 00:00 — 22.4% walkout · 76 visitsFri 01:00 — 23.7% walkout · 59 visitsFri 02:00 — 10.0% walkout · 30 visitsFri 03:00 — 0.0% walkout · 29 visitsFri 04:00 — 9.1% walkout · 22 visitsFri 05:00 — 6.5% walkout · 31 visitsFri 06:00 — 13.9% walkout · 36 visitsFri 07:00 — 3.1% walkout · 32 visitsFri 08:00 — 3.3% walkout · 30 visitsFri 09:00 — 8.3% walkout · 36 visitsFri 10:00 — 13.6% walkout · 22 visitsFri 11:00 — 3.4% walkout · 29 visitsFri 12:00 — 5.7% walkout · 35 visitsFri 13:00 — 7.5% walkout · 40 visitsFri 14:00 — 3.6% walkout · 28 visitsFri 15:00 — 9.1% walkout · 33 visitsFri 16:00 — 15.4% walkout · 26 visitsFri 17:00 — 7.7% walkout · 26 visitsFri 18:00 — 9.5% walkout · 21 visitsFri 19:00 — 10.5% walkout · 38 visitsFri 20:00 — 3.8% walkout · 26 visitsFri 21:00 — 12.9% walkout · 70 visitsFri 22:00 — 21.4% walkout · 70 visitsFri 23:00 — 19.0% walkout · 58 visitsSat 00:00 — 9.8% walkout · 41 visitsSat 01:00 — 15.2% walkout · 46 visitsSat 02:00 — 8.8% walkout · 34 visitsSat 03:00 — 3.3% walkout · 30 visitsSat 04:00 — 2.9% walkout · 34 visitsSat 05:00 — 6.4% walkout · 47 visitsSat 06:00 — 6.8% walkout · 44 visitsSat 07:00 — 2.6% walkout · 38 visitsSat 08:00 — 12.5% walkout · 32 visitsSat 09:00 — 4.5% walkout · 44 visitsSat 10:00 — 6.3% walkout · 32 visitsSat 11:00 — 5.1% walkout · 39 visitsSat 12:00 — 5.3% walkout · 38 visitsSat 13:00 — 8.7% walkout · 46 visitsSat 14:00 — 9.1% walkout · 33 visitsSat 15:00 — 10.3% walkout · 39 visitsSat 16:00 — 8.0% walkout · 25 visitsSat 17:00 — 11.1% walkout · 36 visitsSat 18:00 — 5.7% walkout · 53 visitsSat 19:00 — 12.0% walkout · 25 visitsSat 20:00 — 3.4% walkout · 29 visitsSat 21:00 — 6.5% walkout · 31 visitsSat 22:00 — 10.3% walkout · 39 visitsSat 23:00 — 7.9% walkout · 38 visitswalkout rate · darker = higher · hover a cell for visit count

Top 10 hot cells

Day Hour Visits Walkouts Rate
Fri 01:00 59 14 23.7%
Fri 00:00 76 17 22.4%
Fri 22:00 70 15 21.4%
Fri 23:00 58 11 19.0%
Mon 05:00 39 7 17.9%
Wed 21:00 39 6 15.4%
Fri 16:00 26 4 15.4%
Sat 01:00 46 7 15.2%
Tue 20:00 33 5 15.2%
Tue 05:00 53 8 15.1%
What this looks like in your stack today. Heatmaps over (day-of-week × hour) aren't in BluWave's standard kit; Vetspire reports weekly aggregates by site rather than hourly density. The same insight could be hand-built in Looker if you have a data engineer who can stand up the dimensional grain — typical effort is 2–3 weeks once the warehouse is fed. The drawer in the lower-right shows the exact strftime('%w', ...) + strftime('%H', ...) pivot we used; it ports to Postgres or BigQuery directly.

Cited context. The ER walkout baseline is a Central Uplift estimate — no public veterinary ER LWBS benchmark exists. Per-triage revenue ($180–$280; we use the $220 mid-band) is anchored to the AAHA Veterinary Fee Reference (11th ed.), ER triage exam codes. This is a measure-only operational view: the recommendation is a staffing change the operator makes, never owner outreach. Press Q for the query this page ran.