Georgia physician workforce: MSA reports - 2008, Albany MSA physician standard report

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 1

Physician Specialty Allergy & Immunology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
1.4 1.5 1.4 0.8 1.7 1.2 1.1
1.3
1.7 1.3

2008 Actual

Population

Physician /100k

162 079

2

1.2

Physician Need
2

Status Adequate 0

2

Adequate 0

2

Adequate 0

1

Surplus 1

3

Deficit -1

2

Adequate 0

2

Adequate 0

2

Adequate 0

3

Deficit -1

2

Adequate 0

2015 Projected
Population 161 394
Physician Need 2 2 2 1 3 2 2
2
3 2

Physician Specialty Anesthesiology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
14.0 9.7 9.1 8.9 5.9 3.9 9.0
7.0
7.6

2008 Actual

Population

Physician /100k

162 079

13

8.0

Physician Need
23

Status Deficit -10

16

Deficit -3

15

Deficit -2

14

Deficit -1

10

Surplus 3

6

Surplus 7

15

Deficit -2

11

Surplus 2

12

Surplus 1

2015 Projected
Population 161 394
Physician Need 23 16 15 14 10 6 15
11
12

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 2

Physician Specialty Cardiovascular Diseases
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
7.5 5.4 5.0 3.1 3.0 1.8 2.9
3.6 2.6 4.2 3.5

2008 Actual

Population

Physician /100k

162 079

9

5.6

Physician Need
12

Status Deficit -3

9

Adequate 0

8

Surplus 1

5

Surplus 4

5

Surplus 4

3

Surplus 6

5

Surplus 4

6

Surplus 3

4

Surplus 5

7

Surplus 2

6

Surplus 3

2015 Projected
Population 161 394
Physician Need 12 9 8 5 5 3 5
6 4 7 6

Physician Specialty Dermatology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
3.7 2.8 2.6 2.8 2.5 2.4 2.6 1.6 1.4 2.1 3.1 2.4

2008 Actual

Population

Physician /100k

162 079

4

2.5

Physician Need
6

Status Deficit -2

5

Deficit -1

4

Adequate 0

5

Deficit -1

4

Adequate 0

4

Adequate 0

4

Adequate 0

3

Surplus 1

2

Surplus 2

3

Surplus 1

5

Deficit -1

4

Adequate 0

2015 Projected
Population 161 394
Physician Need 6 5 4 5 4 4 4 3 2 3 5 4

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 3

Physician Specialty Emergency Medicine
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
10.5 5.5 5.2 5.4 6.7 5.3
2.7
12.4 6.2

2008 Actual

Population

Physician /100k

162 079

17

10.5

Physician Need
17

Status Adequate 0

9

Surplus 8

8

Surplus 9

9

Surplus 8

11

Surplus 6

9

Surplus 8

4

Surplus 13

20

Deficit -3

10

Surplus 7

2015 Projected
Population 161 394
Physician Need 17 9 8 9 11 9
4
20 10

Physician Specialty Family Practice
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
31.5 45.6 42.6 25.2 16.7 11.0
9.2
16.2 22.5 23.6

2008 Actual

Population

Physician /100k

162 079

42

25.9

Physician Need
51

Status Deficit -9

74

Deficit -32

69

Deficit -27

41

Surplus 1

27

Surplus 15

18

Surplus 24

15

Surplus 27

26

Surplus 16

37

Surplus 5

38

Surplus 4

2015 Projected
Population 161 394
Physician Need 51 74 69 41 27 18
15
26 36 38

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 4

Physician Specialty Gastroenterology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
4.2 3.1
3.2 1.7 1.7
1.3
3.5 2.4

2008 Actual

Population

Physician /100k

162 079

8

4.9

Physician Need
7

Status Surplus 1

5

Surplus 3

5

Surplus 3

3

Surplus 5

3

Surplus 5

2

Surplus 6

6

Surplus 2

4

Surplus 4

2015 Projected
Population 161 394
Physician Need 7 5
5 3 3
2
6 4

Physician Specialty Infectious Disease
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
2.2 0.7 0.6 0.9 1.2 0.7 0.6
0.8

2008 Actual

Population

Physician /100k

162 079

3

1.9

Physician Need
4

Status Deficit -1

1

Surplus 2

1

Surplus 2

1

Surplus 2

2

Surplus 1

1

Surplus 2

1

Surplus 2

1

Surplus 2

2015 Projected
Population 161 394
Physician Need 4 1 1 1 2 1 1
1

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 5

Physician Specialty Internal Medicine
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
53.1 21.4 20.0 28.8 28.1 30.3
16.7
11.3 19.0 22.0

2008 Actual

Population

Physician /100k

162 079

46

28.4

Physician Need
86

Status Deficit -40

35

Surplus 11

32

Surplus 14

47

Deficit -1

46

Adequate 0

49

Deficit -3

27

Surplus 19

18

Surplus 28

31

Surplus 15

36

Surplus 10

2015 Projected
Population 161 394
Physician Need 86 35 32 46 45 49
27
18 31 36

Physician Specialty Nephrology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
2.6 1.4 1.3 1.1 0.8 0.7 0.9
0.7 1.0

2008 Actual

Population

Physician /100k

162 079

6

3.7

Physician Need
4

Status Surplus 2

2

Surplus 4

2

Surplus 4

2

Surplus 4

1

Surplus 5

1

Surplus 5

1

Surplus 5

1

Surplus 5

2

Surplus 4

2015 Projected
Population 161 394
Physician Need 4 2 2 2 1 1 1
1 2

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 6

Physician Specialty Neurological Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
1.9 1.1 1.0 1.1 1.4
0.4
0.7
1.0

2008 Actual

Population

Physician /100k

162 079

5

3.1

Physician Need
3

Status Surplus 2

2

Surplus 3

2

Surplus 3

2

Surplus 3

2

Surplus 3

1

Surplus 4

1

Surplus 4

2

Surplus 3

2015 Projected
Population 161 394
Physician Need 3 2 2 2 2
1
1
2

Physician Specialty Neurology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
5.0 2.4 2.3 3.3 1.3 1.7 1.2
2.1 1.4 1.8 1.9

2008 Actual

Population

Physician /100k

162 079

2

1.2

Physician Need
8

Status Deficit -6

4

Deficit -2

4

Deficit -2

5

Deficit -3

2

Adequate 0

3

Deficit -1

2

Adequate 0

3

Deficit -1

2

Adequate 0

3

Deficit -1

3

Deficit -1

2015 Projected
Population 161 394
Physician Need 8 4 4 5 2 3 2
3 2 3 3

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 7

Physician Specialty OB/GYN
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
14.1 12.1 11.3 9.9 11.6 11.5 10.0 8.8 8.4 8.0 10.2 10.2

2008 Actual

Population

Physician /100k

162 079

24

14.8

Physician Need
23

Status Surplus 1

20

Surplus 4

18

Surplus 6

16

Surplus 8

19

Surplus 5

19

Surplus 5

16

Surplus 8

14

Surplus 10

14

Surplus 10

13

Surplus 11

16

Surplus 8

17

Surplus 7

2015 Projected
Population 161 394
Physician Need 23 20 18 16 19 19 16 14 14 13 16 16

Physician Specialty Opthalmology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
6.0 5.9 5.5 4.6 2.4 3.1 5.0
3.5 3.2 4.7 4.2

2008 Actual

Population

Physician /100k

162 079

9

5.6

Physician Need
10

Status Deficit -1

10

Deficit -1

9

Adequate 0

7

Surplus 2

4

Surplus 5

5

Surplus 4

8

Surplus 1

6

Surplus 3

5

Surplus 4

8

Surplus 1

7

Surplus 2

2015 Projected
Population 161 394
Physician Need 10 10 9 7 4 5 8
6 5 8 7

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 8

Physician Specialty Orthopedic Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
8.3 6.8 6.4 6.0 5.9 4.2 6.7 3.0 5.9 4.2 6.1 5.5

2008 Actual

Population

Physician /100k

162 079

11

6.8

Physician Need
13

Status Deficit -2

11

Adequate 0

10

Surplus 1

10

Surplus 1

10

Surplus 1

7

Surplus 4

11

Adequate 0

5

Surplus 6

10

Surplus 1

7

Surplus 4

10

Surplus 1

9

Surplus 2

2015 Projected
Population 161 394
Physician Need 13 11 10 10 10 7 11 5 10 7 10 9

Physician Specialty Otolaryngology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
3.4 3.2
3.2 3.4 2.4 3.0
3.0

2008 Actual

Population

Physician /100k

162 079

3

1.9

Physician Need
6

Status Deficit -3

5

Deficit -2

5

Deficit -2

6

Deficit -3

4

Deficit -1

5

Deficit -2

5

Deficit -2

2015 Projected
Population 161 394
Physician Need 5 5
5 5 4 5
5

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 9

Physician Specialty Pathology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
6.3 1.9 1.8 6.4 3.3 1.8
4.1
3.2

2008 Actual

Population

Physician /100k

162 079

8

4.9

Physician Need
10

Status Deficit -2

3

Surplus 5

3

Surplus 5

10

Deficit -2

5

Surplus 3

3

Surplus 5

7

Surplus 1

5

Surplus 3

2015 Projected
Population 161 394
Physician Need 10 3 3 10 5 3
7
5

Physician Specialty Pediatrics
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
24.9 16.6 15.5 12.4 11.9 16.0
9.8
7.6 13.9 13.0

2008 Actual

Population

Physician /100k

162 079

26

16.0

Physician Need
40

Status Deficit -14

27

Deficit -1

25

Surplus 1

20

Surplus 6

19

Surplus 7

26

Adequate 0

16

Surplus 10

12

Surplus 14

23

Surplus 3

21

Surplus 5

2015 Projected
Population 161 394
Physician Need 40 27 25 20 19 26
16
12 22 21

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 10

Physician Specialty Plastic Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
2.4
1.1 0.3
0.4
1.1 2.3 2.2 1.2

2008 Actual

Population

Physician /100k

162 079

3

1.9

Physician Need
4

Status Deficit -1

2

Surplus 1

0

Surplus 3

1

Surplus 2

2

Surplus 1

4

Deficit -1

4

Deficit -1

2

Surplus 1

2015 Projected
Population 161 394
Physician Need 4
2 0
1
2 4 4 2

Physician Specialty Psychiatry
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
13.6 7.7 7.2 15.4 5.2 4.1
7.2 3.9 5.7 7.1

2008 Actual

Population

Physician /100k

162 079

11

6.8

Physician Need
22

Status Deficit -11

12

Deficit -1

12

Deficit -1

25

Deficit -14

8

Surplus 3

7

Surplus 4

12

Deficit -1

6

Surplus 5

9

Surplus 2

12

Deficit -1

2015 Projected
Population 161 394
Physician Need 22 12 12 25 8 7
12 6 9 11

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 11

Physician Specialty Pulmonary Diseases
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
3.5 2.0 1.9 1.4 1.4 1.0 1.4
1.4
1.3 1.5

2008 Actual

Population

Physician /100k

162 079

4

2.5

Physician Need
6

Status Deficit -2

3

Surplus 1

3

Surplus 1

2

Surplus 2

2

Surplus 2

2

Surplus 2

2

Surplus 2

2

Surplus 2

2

Surplus 2

2

Surplus 2

2015 Projected
Population 161 394
Physician Need 6 3 3 2 2 2 2
2
2 2

Physician Specialty Radiology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
11.4 13.6 13.7 7.7 8.5 4.7 7.7
8.0
9.1

2008 Actual

Population

Physician /100k

162 079

24

14.8

Physician Need
18

Status Surplus 6

22

Surplus 2

22

Surplus 2

12

Surplus 12

14

Surplus 10

8

Surplus 16

12

Surplus 12

13

Surplus 11

15

Surplus 9

2015 Projected
Population 161 394
Physician Need 18 22 22 12 14 8 12
13
15

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 12

Physician Specialty Rheumatology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
1.5 1.1 1.0 0.7 0.4 0.7 0.7
0.4
1.3 0.8

2008 Actual

Population

Physician /100k

162 079

2

1.2

Physician Need
2

Status Adequate 0

2

Adequate 0

2

Adequate 0

1

Surplus 1

1

Surplus 1

1

Surplus 1

1

Surplus 1

1

Surplus 1

2

Adequate 0

1

Surplus 1

2015 Projected
Population 161 394
Physician Need 2 2 2 1 1 1 1
1
2 1

Physician Specialty General Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
12.5 9.4 8.8 9.7 7.0 6.2 5.9 4.2 9.7 4.1 6.0 7.1

2008 Actual

Population

Physician /100k

162 079

17

10.5

Physician Need
20

Status Deficit -3

15

Surplus 2

14

Surplus 3

16

Surplus 1

11

Surplus 6

10

Surplus 7

10

Surplus 7

7

Surplus 10

16

Surplus 1

7

Surplus 10

10

Surplus 7

12

Surplus 5

2015 Projected
Population 161 394
Physician Need 20 15 14 16 11 10 10 7 16 7 10 11

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 13

Physician Specialty Thoracic Surgery
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
1.5
0.8 0.1
0.5

2008 Actual

Population

Physician /100k

162 079

1

0.6

Physician Need
2

Status Deficit -1

1

Adequate 0

0

Surplus 1

1

Adequate 0

2015 Projected
Population 161 394
Physician Need 2
1 0
1

Physician Specialty Urology
National Physician Standards* AMA Two Mature HMO Adjusted FTE GMENAC Kaiser Portland 7 Kaiser Plans GHC Seattle Three HMOs Goodman Hicks & Glenn Solucient Average Requirement

Standard Phys/100 000 Pop.
3.5 3.5 3.3 3.1 3.3 2.3 2.9
2.6 1.9 2.9 2.9

2008 Actual

Population

Physician /100k

162 079

8

4.9

Physician Need
6

Status Surplus 2

6

Surplus 2

5

Surplus 3

5

Surplus 3

5

Surplus 3

4

Surplus 4

5

Surplus 3

4

Surplus 4

3

Surplus 5

5

Surplus 3

5

Surplus 3

2015 Projected
Population 161 394
Physician Need 6 6 5 5 5 4 5
4 3 5 5

Georgia Physician Workforce MSA Reports - 2008
Albany MSA Physician Standard Report
Included Counties Baker Dougherty Lee Terrell Worth

Page 14

Report created by Georgia Board for Physician Workforce State of Georgia
*Standards are presented as rates per 100 000 population (1) McClendon B. R.Polizer E. Christain and E. Fernandez. 1997. Downsizing the Physician Workforce. Public Health Reports. May/June 112 231-239. (2) Graduate Medical Education National Advisory Committee Summary Report. 1981. Pub. No. (HRA) 81-651. Washington Government Printing Office. (3) American Medical Association. 1996. Physician Characteristics and Distribution in the US 1995/1996. Chicago. (4) American Osteopathic Association. 1993. 1994 Yearbook and Directory of Osteopathic Physicians. Chicago. (5) Hart L. E. Wagner J. Parzada A.Nelson and R.Rosenblah. 1997. Physician Staffing Ratios in Staff- Model HMO s A Cautionary Tale Health Affairs 16
no. 1 55-70. (6) Weiner J.P. 1994 Forecasting the Effects of Health Reform on U.S. Physician Workforce Requirement. JAMA 272 no. 3 222-230. (7) Steinwachs D. J.P. Weiner S. Shapiro et al. 1986. A Comparison of the Requirements for Primary Care Physicians in with Projections Made by the
Graduate Medical National Advisory Committee. New England Journal of Medicine 314 217-222. (8) Kronick R. D.C. Goodman J. Wennberg and E.Wagner. 1993. The Marketplace in Health Care Reform The Demographic Limitations of Managed
Competition. New England Journal of Medicine 328 1480152. See also related NAPS Document 04998. (9) Vansdow N.A. The Physician Workforce Issues for Academic Medical Centers. Forum on the Future of Academic Medicine. December 2 1996. (10) Forte G.J. Dionne M. Beaulieu M. and Salsberg E. Profile of New York State Physicians. Rensselaer NY Center for Health Workforce Studies
School of Public Health SUNY Albany. April 2001. (11) A Review of Physician-to-Population Ratios. Merritt Hawkins & Associates. GMENAC Goodman (Dec. 11 1996 JAMA) Hicks & Glenn (1989 Journal of
Health Care Management) Solucient (2003). (12) American Medical Association. Physician Characteristics and Distribution in the US 2010 Edition 2010.