38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 1
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
118,964
4
3.4
Physician Need
17
Status Deficit: -13
12
Deficit: -8
11
Deficit: -7
11
Deficit: -7
7
Deficit: -3
5
Deficit: -1
11
Deficit: -7
8
Deficit: -4
9
Deficit: -5
2015 Projected
Population 152,688
Physician Need 21 15 14 14 6 6 14
11
12
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
118,964
2
1.7
Physician Need
9
Status Deficit: -7
6
Deficit: -4
6
Deficit: -4
4
Deficit: -2
4
Deficit: -2
2
Adequate 0
3
Deficit: -1
4
Deficit: -2
3
Deficit: -1
5
Deficit: -3
4
Deficit: -2
2015 Projected
Population 152,688
Physician Need 11 8 8 5 3 3 4
5 4 6 5
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 2
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
118,964
3
2.5
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 152,688
Physician Need 6 4 4 4 4 4 4 2 2 3 5 4
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
118,964
10
8.4
Physician Need
12
Status Deficit: -2
7
Surplus: 3
6
Surplus: 4
6
Surplus: 4
8
Surplus: 2
6
Surplus: 4
3
Surplus: 7
15
Deficit: -5
7
Surplus: 3
2015 Projected
Population 152,688
Physician Need 16 8 8 8 8 8
4
19 9
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 3
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
118,964
16
13.4
Physician Need
37
Status Deficit: -21
54
Deficit: -38
51
Deficit: -35
30
Deficit: -14
20
Deficit: -4
13
Surplus: 3
11
Surplus: 5
19
Deficit: -3
27
Deficit: -11
28
Deficit: -12
2015 Projected
Population 152,688
Physician Need 48 70 65 38 17 17
14
25 34 36
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
118,964
1
0.8
Physician Need
5
Status Deficit: -4
4
Deficit: -3
4
Deficit: -3
2
Deficit: -1
2
Deficit: -1
2
Deficit: -1
4
Deficit: -3
3
Deficit: -2
2015 Projected
Population 152,688
Physician Need 6 5
5 3 3
2
5 4
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 4
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
118,964
18
15.1
Physician Need
63
Status Deficit: -45
25
Deficit: -7
24
Deficit: -6
34
Deficit: -16
33
Deficit: -15
36
Deficit: -18
20
Deficit: -2
13
Surplus: 5
23
Deficit: -5
26
Deficit: -8
2015 Projected
Population 152,688
Physician Need 81 33 31 44 46 46
25
17 29 34
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
118,964
3
2.5
Physician Need
3
Status Adequate 0
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
1
Surplus: 2
2015 Projected
Population 152,688
Physician Need 4 2 2 2 1 1 1
1 2
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 5
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
118,964
3
2.5
Physician Need
6
Status Deficit: -3
3
Adequate 0
3
Adequate 0
4
Deficit: -1
2
Surplus: 1
2
Surplus: 1
1
Surplus: 2
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2
Surplus: 1
2015 Projected
Population 152,688
Physician Need 8 4 4 5 3 3 2
3 2 3 3
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
118,964
5
4.2
Physician Need
17
Status Deficit: -12
14
Deficit: -9
13
Deficit: -8
12
Deficit: -7
14
Deficit: -9
14
Deficit: -9
12
Deficit: -7
10
Deficit: -5
10
Deficit: -5
10
Deficit: -5
12
Deficit: -7
12
Deficit: -7
2015 Projected
Population 152,688
Physician Need 22 18 17 15 18 18 15 13 13 12 16 16
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 6
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
118,964
5
4.2
Physician Need
7
Status Deficit: -2
7
Deficit: -2
7
Deficit: -2
5
Adequate 0
3
Surplus: 2
4
Surplus: 1
6
Deficit: -1
4
Surplus: 1
4
Surplus: 1
6
Deficit: -1
5
Adequate 0
2015 Projected
Population 152,688
Physician Need 9 9 8 7 5 5 8
5 5 7 6
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
118,964
6
5.0
Physician Need
10
Status Deficit: -4
8
Deficit: -2
8
Deficit: -2
7
Deficit: -1
7
Deficit: -1
5
Surplus: 1
8
Deficit: -2
4
Surplus: 2
7
Deficit: -1
5
Surplus: 1
7
Deficit: -1
7
Deficit: -1
2015 Projected
Population 152,688
Physician Need 13 10 10 9 6 6 10 5 9 6 9 8
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 7
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
118,964
2
1.7
Physician Need
4
Status Deficit: -2
4
Deficit: -2
4
Deficit: -2
4
Deficit: -2
3
Deficit: -1
4
Deficit: -2
4
Deficit: -2
2015 Projected
Population 152,688
Physician Need 5 5
5 4 4 5
5
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
118,964
2
1.7
Physician Need
7
Status Deficit: -5
2
Adequate 0
2
Adequate 0
8
Deficit: -6
4
Deficit: -2
2
Adequate 0
5
Deficit: -3
4
Deficit: -2
2015 Projected
Population 152,688
Physician Need 10 3 3 10 3 3
6
5
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 8
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
118,964
10
8.4
Physician Need
30
Status Deficit: -20
20
Deficit: -10
18
Deficit: -8
15
Deficit: -5
14
Deficit: -4
19
Deficit: -9
12
Deficit: -2
9
Surplus: 1
17
Deficit: -7
15
Deficit: -5
2015 Projected
Population 152,688
Physician Need 38 25 24 19 24 24
15
12 21 20
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
118,964
3
2.5
Physician Need
16
Status Deficit: -13
9
Deficit: -6
9
Deficit: -6
18
Deficit: -15
6
Deficit: -3
5
Deficit: -2
9
Deficit: -6
5
Deficit: -2
7
Deficit: -4
8
Deficit: -5
2015 Projected
Population 152,688
Physician Need 21 12 11 24 6 6
11 6 9 11
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 9
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
118,964
2
1.7
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
2
Adequate 0
2
Adequate 0
2015 Projected
Population 152,688
Physician Need 5 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 Physicians /100k
118,964
5
4.2
Physician Need
14
Status Deficit: -9
16
Deficit: -11
16
Deficit: -11
9
Deficit: -4
10
Deficit: -5
6
Deficit: -1
9
Deficit: -4
10
Deficit: -5
11
Deficit: -6
2015 Projected
Population 152,688
Physician Need 17 21 21 12 7 7 12
12
14
38 Georgia Physician Workforce: County Reports - 2008
Coweta County Physician Standard Report
Page 10
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
118,964
8
6.7
Physician Need
15
Status Deficit: -7
11
Deficit: -3
10
Deficit: -2
12
Deficit: -4
8
Adequate 0
7
Surplus: 1
7
Surplus: 1
5
Surplus: 3
12
Deficit: -4
5
Surplus: 3
7
Surplus: 1
8
Adequate 0
2015 Projected
Population 152,688
Physician Need 19 14 13 15 9 9 9 6 15 6 9 11
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
118,964
2
1.7
Physician Need
4
Status Deficit: -2
4
Deficit: -2
4
Deficit: -2
4
Deficit: -2
4
Deficit: -2
3
Deficit: -1
3
Deficit: -1
3
Deficit: -1
2
Adequate 0
3
Deficit: -1
3
Deficit: -1
2015 Projected
Population 152,688
Physician Need 5 5 5 5 4 4 4
4 3 4 4
38 Georgia Physician Workforce: County Reports - 2008 Page 11
Coweta 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.