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

36 Georgia Physician Workforce: County Reports - 2008
Columbia 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

108,859

3

2.8

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 134,593
Physician Need 2 2 2 1 2 2 1
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

108,859

9

8.3

Physician Need
15

Status Deficit: -6

11

Deficit: -2

10

Deficit: -1

10

Deficit: -1

6

Surplus: 3

4

Surplus: 5

10

Deficit: -1

8

Surplus: 1

8

Surplus: 1

2015 Projected
Population 134,593
Physician Need 19 13 12 12 5 5 12
9
10

36 Georgia Physician Workforce: County Reports - 2008
Columbia 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

108,859

2

1.8

Physician Need
8

Status Deficit: -6

6

Deficit: -4

5

Deficit: -3

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

5

Deficit: -3

4

Deficit: -2

2015 Projected
Population 134,593
Physician Need 10 7 7 4 2 2 4
5 3 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

108,859

3

2.8

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

3

Adequate 0

3

Adequate 0

2015 Projected
Population 134,593
Physician Need 5 4 3 4 3 3 3 2 2 3 4 3

36 Georgia Physician Workforce: County Reports - 2008
Columbia 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

108,859

6

5.5

Physician Need
11

Status Deficit: -5

6

Adequate 0

6

Adequate 0

6

Adequate 0

7

Deficit: -1

6

Adequate 0

3

Surplus: 3

13

Deficit: -7

7

Deficit: -1

2015 Projected
Population 134,593
Physician Need 14 7 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

108,859

2

1.8

Physician Need
2

Status 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 134,593
Physician Need 2 1 1 1 1 1
1
1

36 Georgia Physician Workforce: County Reports - 2008
Columbia 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

108,859

28

25.7

Physician Need
34

Status Deficit: -6

50

Deficit: -22

46

Deficit: -18

27

Surplus: 1

18

Surplus: 10

12

Surplus: 16

10

Surplus: 18

18

Surplus: 10

25

Surplus: 3

26

Surplus: 2

2015 Projected
Population 134,593
Physician Need 42 61 57 34 15 15
12
22 30 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

108,859

5

4.6

Physician Need
5

Status Adequate 0

3

Surplus: 2

3

Surplus: 2

2

Surplus: 3

2

Surplus: 3

1

Surplus: 4

4

Surplus: 1

3

Surplus: 2

2015 Projected
Population 134,593
Physician Need 6 4
4 2 2
2
5 3

36 Georgia Physician Workforce: County Reports - 2008
Columbia County Physician Standard Report

Page 5

Physician Specialty Hematology/Oncology
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 2.5 2.4 3.6 2.3 1.8 1.6 2.6 1.2
1.1 2.1

2008 Actual
Population Physicians /100k

108,859

1

0.9

Physician Need
4

Status Deficit: -3

3

Deficit: -2

3

Deficit: -2

4

Deficit: -3

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

3

Deficit: -2

1

Adequate 0

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 134,593
Physician Need 5 3 3 5 2 2 2 3 2
1 3

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

108,859

20

18.4

Physician Need
58

Status Deficit: -38

23

Deficit: -3

22

Deficit: -2

31

Deficit: -11

31

Deficit: -11

33

Deficit: -13

18

Surplus: 2

12

Surplus: 8

21

Deficit: -1

24

Deficit: -4

2015 Projected
Population 134,593
Physician Need 71 29 27 39 41 41
22
15 26 30

36 Georgia Physician Workforce: County Reports - 2008
Columbia 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

108,859

1

0.9

Physician Need
3

Status Deficit: -2

2

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 134,593
Physician Need 3 2 2 1 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

108,859

1

0.9

Physician Need
5

Status Deficit: -4

3

Deficit: -2

3

Deficit: -2

4

Deficit: -3

1

Adequate 0

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2015 Projected
Population 134,593
Physician Need 7 3 3 4 2 2 2
3 2 2 3

36 Georgia Physician Workforce: County Reports - 2008
Columbia 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

108,859

5

4.6

Physician Need
15

Status Deficit: -10

13

Deficit: -8

12

Deficit: -7

11

Deficit: -6

13

Deficit: -8

13

Deficit: -8

11

Deficit: -6

10

Deficit: -5

9

Deficit: -4

9

Deficit: -4

11

Deficit: -6

11

Deficit: -6

2015 Projected
Population 134,593
Physician Need 19 16 15 13 15 15 13 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

108,859

1

0.9

Physician Need
7

Status Deficit: -6

6

Deficit: -5

6

Deficit: -5

5

Deficit: -4

3

Deficit: -2

3

Deficit: -2

5

Deficit: -4

4

Deficit: -3

3

Deficit: -2

5

Deficit: -4

5

Deficit: -4

2015 Projected
Population 134,593
Physician Need 8 8 7 6 4 4 7
5 4 6 6

36 Georgia Physician Workforce: County Reports - 2008
Columbia 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

108,859

4

3.7

Physician Need
9

Status Deficit: -5

7

Deficit: -3

7

Deficit: -3

7

Deficit: -3

6

Deficit: -2

5

Deficit: -1

7

Deficit: -3

3

Surplus: 1

6

Deficit: -2

5

Deficit: -1

7

Deficit: -3

6

Deficit: -2

2015 Projected
Population 134,593
Physician Need 11 9 9 8 6 6 9 4 8 6 8 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

108,859

9

8.3

Physician Need
4

Status Surplus: 5

3

Surplus: 6

3

Surplus: 6

4

Surplus: 5

3

Surplus: 6

3

Surplus: 6

3

Surplus: 6

2015 Projected
Population 134,593
Physician Need 5 4
4 3 3 4
4

36 Georgia Physician Workforce: County Reports - 2008
Columbia County Physician Standard Report

Page 9

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

108,859

10

9.2

Physician Need
27

Status Deficit: -17

18

Deficit: -8

17

Deficit: -7

13

Deficit: -3

13

Deficit: -3

17

Deficit: -7

11

Deficit: -1

8

Surplus: 2

15

Deficit: -5

14

Deficit: -4

2015 Projected
Population 134,593
Physician Need 34 22 21 17 22 22
13
10 19 17

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

108,859

2

1.8

Physician Need
3

Status Deficit: -1

1

Surplus: 1

0

Surplus: 2

0

Surplus: 2

1

Surplus: 1

3

Deficit: -1

2

Adequate 0

1

Surplus: 1

2015 Projected
Population 134,593
Physician Need 3
1
1
1 3 3 2

36 Georgia Physician Workforce: County Reports - 2008
Columbia County Physician Standard Report

Page 10

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

108,859

11

10.1

Physician Need
15

Status Deficit: -4

8

Surplus: 3

8

Surplus: 3

17

Deficit: -6

6

Surplus: 5

4

Surplus: 7

8

Surplus: 3

4

Surplus: 7

6

Surplus: 5

8

Surplus: 3

2015 Projected
Population 134,593
Physician Need 18 10 10 21 6 6
10 5 8 10

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

108,859

1

0.9

Physician Need
4

Status Deficit: -3

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 134,593
Physician Need 5 3 3 2 1 1 2
2
2 2

36 Georgia Physician Workforce: County Reports - 2008
Columbia County Physician Standard Report

Page 11

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

108,859

4

3.7

Physician Need
12

Status Deficit: -8

15

Deficit: -11

15

Deficit: -11

8

Deficit: -4

9

Deficit: -5

5

Deficit: -1

8

Deficit: -4

9

Deficit: -5

10

Deficit: -6

2015 Projected
Population 134,593
Physician Need 15 18 18 10 6 6 10
11
12

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

108,859

1

0.9

Physician Need
14

Status Deficit: -13

10

Deficit: -9

10

Deficit: -9

11

Deficit: -10

8

Deficit: -7

7

Deficit: -6

6

Deficit: -5

5

Deficit: -4

11

Deficit: -10

4

Deficit: -3

7

Deficit: -6

8

Deficit: -7

2015 Projected
Population 134,593
Physician Need 17 13 12 13 8 8 8 6 13 6 8 10

36 Georgia Physician Workforce: County Reports - 2008
Columbia County Physician Standard Report

Page 12

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

108,859

2

1.8

Physician Need
4

Status Deficit: -2

4

Deficit: -2

4

Deficit: -2

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

3

Deficit: -1

3

Deficit: -1

2015 Projected
Population 134,593
Physician Need 5 5 4 4 3 3 4
3 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.