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.