Georgia physician workforce: county reports 2008, Carroll County physician standard report

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

3

2.7

Physician Need
2

Status Surplus: 1

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

2

Surplus: 1

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

2

Surplus: 1

1

Surplus: 2

2015 Projected
Population 136,867
Physician Need 2 2 2 1 2 2 2
2
2 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 Physicians /100k

111,928

10

8.9

Physician Need
16

Status Deficit: -6

11

Deficit: -1

10

Adequate 0

10

Adequate 0

7

Surplus: 3

4

Surplus: 6

10

Adequate 0

8

Surplus: 2

9

Surplus: 1

2015 Projected
Population 136,867
Physician Need 19 13 12 12 5 5 12
10
10

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

5

4.5

Physician Need
8

Status Deficit: -3

6

Deficit: -1

6

Deficit: -1

3

Surplus: 2

3

Surplus: 2

2

Surplus: 3

3

Surplus: 2

4

Surplus: 1

3

Surplus: 2

5

Adequate 0

4

Surplus: 1

2015 Projected
Population 136,867
Physician Need 10 7 7 4 2 2 4
5 4 6 5

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 Physicians /100k

111,928

3

2.7

Physician Need
4

Status Deficit: -1

3

Adequate 0

3

Adequate 0

3

Adequate 0

3

Adequate 0

3

Adequate 0

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

4

Deficit: -1

3

Adequate 0

2015 Projected
Population 136,867
Physician Need 5 4 4 4 3 3 4 2 2 3 4 3

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

15

13.4

Physician Need
12

Status Surplus: 3

6

Surplus: 9

6

Surplus: 9

6

Surplus: 9

7

Surplus: 8

6

Surplus: 9

3

Surplus: 12

14

Surplus: 1

7

Surplus: 8

2015 Projected
Population 136,867
Physician Need 14 8 7 7 7 7
4
17 8

Physician Specialty

Endocrinology, Diabetes & Metabolism

National Physician Standards*

Standard Phys/100,000 Pop.

AMA

1.8

Two Mature HMO

1.1

Adjusted FTE

1.0

GMENAC

0.8

Kaiser Portland

0.9

7 Kaiser Plans

1.1

GHC Seattle

Three HMOs

0.6

Goodman

Hicks & Glenn

Solucient

Average Requirement

0.9

2008 Actual
Population Physicians /100k

111,928

1

0.9

Physician Need
2

Status Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

2015 Projected
Population 136,867
Physician Need 2 2 1 1 2 2
1
1

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

Page 4

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 Physicians /100k

111,928

30

26.8

Physician Need
35

Status Deficit: -5

51

Deficit: -21

48

Deficit: -18

28

Surplus: 2

19

Surplus: 11

12

Surplus: 18

10

Surplus: 20

18

Surplus: 12

25

Surplus: 5

26

Surplus: 4

2015 Projected
Population 136,867
Physician Need 43 62 58 34 15 15
13
22 31 32

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 Physicians /100k

111,928

3

2.7

Physician Need
5

Status Deficit: -2

3

Adequate 0

4

Deficit: -1

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

4

Deficit: -1

3

Adequate 0

2015 Projected
Population 136,867
Physician Need 6 4
4 2 2
2
5 3

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

Page 5

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 Physicians /100k

111,928

1

0.9

Physician Need
2

Status Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

2015 Projected
Population 136,867
Physician Need 3 1 1 1 1 1 1
1

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 Physicians /100k

111,928

18

16.1

Physician Need
59

Status Deficit: -41

24

Deficit: -6

22

Deficit: -4

32

Deficit: -14

31

Deficit: -13

34

Deficit: -16

19

Deficit: -1

13

Surplus: 5

21

Deficit: -3

25

Deficit: -7

2015 Projected
Population 136,867
Physician Need 73 29 27 39 41 41
23
15 26 30

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

Page 6

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 Physicians /100k

111,928

2

1.8

Physician Need
3

Status Deficit: -1

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

2015 Projected
Population 136,867
Physician Need 4 2 2 2 1 1 1
1 1

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 Physicians /100k

111,928

5

4.5

Physician Need
6

Status Deficit: -1

3

Surplus: 2

3

Surplus: 2

4

Surplus: 1

1

Surplus: 4

2

Surplus: 3

1

Surplus: 4

2

Surplus: 3

2

Surplus: 3

2

Surplus: 3

2

Surplus: 3

2015 Projected
Population 136,867
Physician Need 7 3 3 5 2 2 2
3 2 2 3

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

10

8.9

Physician Need
16

Status Deficit: -6

14

Deficit: -4

13

Deficit: -3

11

Deficit: -1

13

Deficit: -3

13

Deficit: -3

11

Deficit: -1

10

Adequate 0

9

Surplus: 1

9

Surplus: 1

11

Deficit: -1

11

Deficit: -1

2015 Projected
Population 136,867
Physician Need 19 17 15 14 16 16 14 12 11 11 14 14

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 Physicians /100k

111,928

4

3.6

Physician Need
7

Status Deficit: -3

7

Deficit: -3

6

Deficit: -2

5

Deficit: -1

3

Surplus: 1

3

Surplus: 1

6

Deficit: -2

4

Adequate 0

4

Adequate 0

5

Deficit: -1

5

Deficit: -1

2015 Projected
Population 136,867
Physician Need 8 8 8 6 4 4 7
5 4 6 6

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

6

5.4

Physician Need
9

Status Deficit: -3

8

Deficit: -2

7

Deficit: -1

7

Deficit: -1

7

Deficit: -1

5

Surplus: 1

7

Deficit: -1

3

Surplus: 3

7

Deficit: -1

5

Surplus: 1

7

Deficit: -1

6

Adequate 0

2015 Projected
Population 136,867
Physician Need 11 9 9 8 6 6 9 4 8 6 8 8

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 Physicians /100k

111,928

7

6.3

Physician Need
4

Status Surplus: 3

4

Surplus: 3

4

Surplus: 3

4

Surplus: 3

3

Surplus: 4

3

Surplus: 4

3

Surplus: 4

2015 Projected
Population 136,867
Physician Need 5 4
4 3 3 4
4

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

3

2.7

Physician Need
7

Status Deficit: -4

2

Surplus: 1

2

Surplus: 1

7

Deficit: -4

4

Deficit: -1

2

Surplus: 1

5

Deficit: -2

4

Deficit: -1

2015 Projected
Population 136,867
Physician Need 9 3 2 9 2 2
6
4

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 Physicians /100k

111,928

14

12.5

Physician Need
28

Status Deficit: -14

19

Deficit: -5

17

Deficit: -3

14

Adequate 0

13

Surplus: 1

18

Deficit: -4

11

Surplus: 3

9

Surplus: 5

16

Deficit: -2

15

Deficit: -1

2015 Projected
Population 136,867
Physician Need 34 23 21 17 22 22
13
10 19 18

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

1

0.9

Physician Need
3

Status Deficit: -2

1

Adequate 0

0

Surplus: 1

0

Surplus: 1

1

Adequate 0

3

Deficit: -2

2

Deficit: -1

1

Adequate 0

2015 Projected
Population 136,867
Physician Need 3
2
1
2 3 3 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 Physicians /100k

111,928

5

4.5

Physician Need
15

Status Deficit: -10

9

Deficit: -4

8

Deficit: -3

17

Deficit: -12

6

Deficit: -1

5

Adequate 0

8

Deficit: -3

4

Surplus: 1

6

Deficit: -1

8

Deficit: -3

2015 Projected
Population 136,867
Physician Need 19 11 10 21 6 6
10 5 8 10

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

2

1.8

Physician Need
4

Status Deficit: -2

2

Adequate 0

2

Adequate 0

2

Adequate 0

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2015 Projected
Population 136,867
Physician Need 5 3 3 2 1 1 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 Physicians /100k

111,928

12

10.7

Physician Need
13

Status Deficit: -1

15

Deficit: -3

15

Deficit: -3

9

Surplus: 3

10

Surplus: 2

5

Surplus: 7

9

Surplus: 3

9

Surplus: 3

10

Surplus: 2

2015 Projected
Population 136,867
Physician Need 16 19 19 11 6 6 11
11
12

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

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 Physicians /100k

111,928

1

0.9

Physician Need
2

Status Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

0

Surplus: 1

1

Adequate 0

1

Adequate 0

0

Surplus: 1

1

Adequate 0

1

Adequate 0

2015 Projected
Population 136,867
Physician Need 2 2 1 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 Physicians /100k

111,928

9

8.0

Physician Need
14

Status Deficit: -5

11

Deficit: -2

10

Deficit: -1

11

Deficit: -2

8

Surplus: 1

7

Surplus: 2

7

Surplus: 2

5

Surplus: 4

11

Deficit: -2

5

Surplus: 4

7

Surplus: 2

8

Surplus: 1

2015 Projected
Population 136,867
Physician Need 17 13 12 13 8 8 8 6 13 6 8 10

22 Georgia Physician Workforce: County Reports - 2008
Carroll County Physician Standard Report

Page 13

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 Physicians /100k

111,928

3

2.7

Physician Need
4

Status Deficit: -1

4

Deficit: -1

4

Deficit: -1

3

Adequate 0

4

Deficit: -1

3

Adequate 0

3

Adequate 0

3

Adequate 0

2

Surplus: 1

3

Adequate 0

3

Adequate 0

2015 Projected
Population 136,867
Physician Need 5 5 5 4 3 3 4
4 3 4 4

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.