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

31 Georgia Physician Workforce: County Reports - 2008
Clayton 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

272,705

1

0.4

Physician Need
4

Status Deficit: -3

4

Deficit: -3

4

Deficit: -3

2

Deficit: -1

5

Deficit: -4

3

Deficit: -2

3

Deficit: -2

4

Deficit: -3

5

Deficit: -4

4

Deficit: -3

2015 Projected
Population 290,965
Physician Need 4 4 4 2 3 3 3
4
5 4

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

272,705

14

5.1

Physician Need
38

Status Deficit: -24

26

Deficit: -12

25

Deficit: -11

24

Deficit: -10

16

Deficit: -2

11

Surplus: 3

25

Deficit: -11

19

Deficit: -5

21

Deficit: -7

2015 Projected
Population 290,965
Physician Need 41 28 26 26 11 11 26
20
22

31 Georgia Physician Workforce: County Reports - 2008
Clayton 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

272,705

14

5.1

Physician Need
20

Status Deficit: -6

15

Deficit: -1

14

Adequate 0

8

Surplus: 6

8

Surplus: 6

5

Surplus: 9

8

Surplus: 6

10

Surplus: 4

7

Surplus: 7

12

Surplus: 2

10

Surplus: 4

2015 Projected
Population 290,965
Physician Need 22 16 15 9 5 5 8
10 8 12 10

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

272,705

2

0.7

Physician Need
10

Status Deficit: -8

8

Deficit: -6

7

Deficit: -5

8

Deficit: -6

7

Deficit: -5

7

Deficit: -5

7

Deficit: -5

4

Deficit: -2

4

Deficit: -2

6

Deficit: -4

9

Deficit: -7

7

Deficit: -5

2015 Projected
Population 290,965
Physician Need 11 8 8 8 7 7 8 5 4 6 9 7

31 Georgia Physician Workforce: County Reports - 2008
Clayton 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

272,705

14

5.1

Physician Need
29

Status Deficit: -15

15

Deficit: -1

14

Adequate 0

15

Deficit: -1

18

Deficit: -4

14

Adequate 0

7

Surplus: 7

34

Deficit: -20

17

Deficit: -3

2015 Projected
Population 290,965
Physician Need 31 16 15 16 15 15
8
36 18

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

272,705

1

0.4

Physician Need
5

Status Deficit: -4

3

Deficit: -2

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

2015 Projected
Population 290,965
Physician Need 5 3 3 2 3 3
2
3

31 Georgia Physician Workforce: County Reports - 2008
Clayton 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

272,705

32

11.7

Physician Need
86

Status Deficit: -54

124

Deficit: -92

116

Deficit: -84

69

Deficit: -37

46

Deficit: -14

30

Surplus: 2

25

Surplus: 7

44

Deficit: -12

61

Deficit: -29

64

Deficit: -32

2015 Projected
Population 290,965
Physician Need 92 133 124 73 32 32
27
47 66 69

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

272,705

5

1.8

Physician Need
11

Status Deficit: -6

8

Deficit: -3

9

Deficit: -4

5

Adequate 0

5

Adequate 0

4

Surplus: 1

10

Deficit: -5

7

Deficit: -2

2015 Projected
Population 290,965
Physician Need 12 9
9 5 5
4
10 7

31 Georgia Physician Workforce: County Reports - 2008
Clayton 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

272,705

3

1.1

Physician Need
6

Status Deficit: -3

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2015 Projected
Population 290,965
Physician Need 6 2 2 3 2 2 2
2

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

272,705

44

16.1

Physician Need
145

Status Deficit: -101

58

Deficit: -14

55

Deficit: -11

79

Deficit: -35

77

Deficit: -33

83

Deficit: -39

46

Deficit: -2

31

Surplus: 13

52

Deficit: -8

60

Deficit: -16

2015 Projected
Population 290,965
Physician Need 155 62 58 84 88 88
49
33 55 64

31 Georgia Physician Workforce: County Reports - 2008
Clayton 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

272,705

5

1.8

Physician Need
7

Status Deficit: -2

4

Surplus: 1

4

Surplus: 1

3

Surplus: 2

2

Surplus: 3

2

Surplus: 3

2

Surplus: 3

2

Surplus: 3

3

Surplus: 2

2015 Projected
Population 290,965
Physician Need 8 4 4 3 2 2 3
2 3

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 Physicians /100k

272,705

1

0.4

Physician Need
5

Status Deficit: -4

3

Deficit: -2

3

Deficit: -2

3

Deficit: -2

4

Deficit: -3

1

Adequate 0

2

Deficit: -1

3

Deficit: -2

2015 Projected
Population 290,965
Physician Need 6 3 3 3
1
2
3

31 Georgia Physician Workforce: County Reports - 2008
Clayton County Physician Standard Report

Page 7

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

272,705

7

2.6

Physician Need
14

Status Deficit: -7

7

Adequate 0

6

Surplus: 1

9

Deficit: -2

4

Surplus: 3

5

Surplus: 2

3

Surplus: 4

6

Surplus: 1

4

Surplus: 3

5

Surplus: 2

5

Surplus: 2

2015 Projected
Population 290,965
Physician Need 15 7 7 10 5 5 3
6 4 5 6

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

272,705

20

7.3

Physician Need
38

Status Deficit: -18

33

Deficit: -13

31

Deficit: -11

27

Deficit: -7

32

Deficit: -12

31

Deficit: -11

27

Deficit: -7

24

Deficit: -4

23

Deficit: -3

22

Deficit: -2

28

Deficit: -8

28

Deficit: -8

2015 Projected
Population 290,965
Physician Need 41 35 33 29 33 33 29 26 24 23 30 30

31 Georgia Physician Workforce: County Reports - 2008
Clayton County Physician Standard Report

Page 8

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

272,705

8

2.9

Physician Need
16

Status Deficit: -8

16

Deficit: -8

15

Deficit: -7

13

Deficit: -5

7

Surplus: 1

8

Adequate 0

14

Deficit: -6

10

Deficit: -2

9

Deficit: -1

13

Deficit: -5

11

Deficit: -3

2015 Projected
Population 290,965
Physician Need 17 17 16 13 9 9 15
10 9 14 12

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

272,705

12

4.4

Physician Need
23

Status Deficit: -11

19

Deficit: -7

17

Deficit: -5

16

Deficit: -4

16

Deficit: -4

11

Surplus: 1

18

Deficit: -6

8

Surplus: 4

16

Deficit: -4

11

Surplus: 1

17

Deficit: -5

15

Deficit: -3

2015 Projected
Population 290,965
Physician Need 24 20 19 17 12 12 19 9 17 12 18 16

31 Georgia Physician Workforce: County Reports - 2008
Clayton County Physician Standard Report

Page 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 Physicians /100k

272,705

8

2.9

Physician Need
9

Status Deficit: -1

9

Deficit: -1

9

Deficit: -1

9

Deficit: -1

7

Surplus: 1

8

Adequate 0

8

Adequate 0

2015 Projected
Population 290,965
Physician Need 10 9
9 7 7 9
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

272,705

6

2.2

Physician Need
17

Status Deficit: -11

5

Surplus: 1

5

Surplus: 1

17

Deficit: -11

9

Deficit: -3

5

Surplus: 1

11

Deficit: -5

9

Deficit: -3

2015 Projected
Population 290,965
Physician Need 18 6 5 19 5 5
12
9

31 Georgia Physician Workforce: County Reports - 2008
Clayton County Physician Standard Report

Page 10

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

272,705

37

13.6

Physician Need
68

Status Deficit: -31

45

Deficit: -8

42

Deficit: -5

34

Surplus: 3

32

Surplus: 5

44

Deficit: -7

27

Surplus: 10

21

Surplus: 16

38

Deficit: -1

35

Surplus: 2

2015 Projected
Population 290,965
Physician Need 72 48 45 36 47 47
29
22 40 38

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

272,705

1

0.4

Physician Need
7

Status Deficit: -6

3

Deficit: -2

1

Adequate 0

1

Adequate 0

3

Deficit: -2

6

Deficit: -5

6

Deficit: -5

3

Deficit: -2

2015 Projected
Population 290,965
Physician Need 7
3
1
3 7 6 3

31 Georgia Physician Workforce: County Reports - 2008
Clayton County Physician Standard Report

Page 11

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

272,705

14

5.1

Physician Need
37

Status Deficit: -23

21

Deficit: -7

20

Deficit: -6

42

Deficit: -28

14

Adequate 0

11

Surplus: 3

20

Deficit: -6

11

Surplus: 3

16

Deficit: -2

19

Deficit: -5

2015 Projected
Population 290,965
Physician Need 40 22 21 45 12 12
21 11 17 21

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

272,705

7

2.6

Physician Need
10

Status Deficit: -3

5

Surplus: 2

5

Surplus: 2

4

Surplus: 3

4

Surplus: 3

3

Surplus: 4

4

Surplus: 3

4

Surplus: 3

4

Surplus: 3

4

Surplus: 3

2015 Projected
Population 290,965
Physician Need 10 6 6 4 3 3 4
4
4 4

31 Georgia Physician Workforce: County Reports - 2008
Clayton County Physician Standard Report

Page 12

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

272,705

16

5.9

Physician Need
31

Status Deficit: -15

37

Deficit: -21

37

Deficit: -21

21

Deficit: -5

23

Deficit: -7

13

Surplus: 3

21

Deficit: -5

22

Deficit: -6

25

Deficit: -9

2015 Projected
Population 290,965
Physician Need 33 40 40 22 14 14 22
23
26

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

272,705

2

0.7

Physician Need
4

Status Deficit: -2

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2

Adequate 0

1

Surplus: 1

4

Deficit: -2

2

Adequate 0

2015 Projected
Population 290,965
Physician Need 4 3 3 2 2 2 2
1
4 2

31 Georgia Physician Workforce: County Reports - 2008
Clayton County Physician Standard Report

Page 13

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

272,705

16

5.9

Physician Need
34

Status Deficit: -18

26

Deficit: -10

24

Deficit: -8

26

Deficit: -10

19

Deficit: -3

17

Deficit: -1

16

Adequate 0

11

Surplus: 5

26

Deficit: -10

11

Surplus: 5

16

Adequate 0

19

Deficit: -3

2015 Projected
Population 290,965
Physician Need 36 27 26 28 18 18 17 12 28 12 17 21

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

272,705

7

2.6

Physician Need
10

Status Deficit: -3

10

Deficit: -3

9

Deficit: -2

8

Deficit: -1

9

Deficit: -2

6

Surplus: 1

8

Deficit: -1

7

Adequate 0

5

Surplus: 2

8

Deficit: -1

8

Deficit: -1

2015 Projected
Population 290,965
Physician Need 10 10 10 9 7 7 8
8 6 8 8

31 Georgia Physician Workforce: County Reports - 2008 Page 14
Clayton County Physician Standard Report
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.