Georgia Physician Workforce: AHEC Reports - 2008 Page 1 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 27 28 27 15 32 23 21 2008 Actual Physicians 25 Status Deficit: Deficit: Deficit: Surplus: Deficit: Surplus: Surplus: /100k 1.3 -2 -3 -2 10 -7 2 4 1.3 25 Adequate 0 1.7 33 Deficit: -8 1.3 25 Adequate 0 2015 Projected Population 2,077,897 Physician Need 29 31 29 17 35 25 23 27 36 27 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 Population 1,895,861 Physician Need 265 184 173 169 112 74 171 2008 Actual Physicians 183 /100k 9.7 Status Deficit: -82 Deficit: -1 Surplus: 10 Surplus: 14 Surplus: 71 Surplus: 109 Surplus: 12 7.0 133 Surplus: 50 7.6 144 Surplus: 39 2015 Projected Population 2,077,897 Physician Need 291 202 189 185 123 81 187 145 158 Georgia Physician Workforce: AHEC Reports - 2008 Page 2 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 142 102 95 59 57 34 55 2008 Actual Physicians 132 Status Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 7.0 -10 30 37 73 75 98 77 3.6 68 2.6 49 4.2 80 3.5 66 Surplus: 64 Surplus: 83 Surplus: 52 Surplus: 66 2015 Projected Population 2,077,897 Physician Need 156 112 104 64 62 37 60 75 54 88 73 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 Population 1,895,861 Physician Need 70 53 49 53 47 46 49 30 27 40 59 46 2008 Actual Physicians 58 Status Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Deficit: Surplus: /100k 3.1 -12 5 9 5 11 12 9 28 31 18 -1 12 2015 Projected Population 2,077,897 Physician Need 77 58 54 58 52 50 54 33 29 44 65 50 Georgia Physician Workforce: AHEC Reports - 2008 Page 3 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 199 104 99 102 127 100 2008 Actual Physicians 207 /100k 10.9 Status Surplus: 8 Surplus: 103 Surplus: 108 Surplus: 105 Surplus: 80 Surplus: 107 2.7 51 12.4 235 6.2 118 Surplus: 156 Deficit: -28 Surplus: 89 2015 Projected Population 2,077,897 Physician Need 218 114 108 112 139 110 56 258 129 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 Population 1,895,861 Physician Need 34 21 19 15 17 21 2008 Actual Physicians 25 Status Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: 11 Surplus: 17 Surplus: /100k 1.3 -9 4 6 10 8 4 14 8 2015 Projected Population 2,077,897 Physician Need 37 23 21 17 19 23 12 19 Georgia Physician Workforce: AHEC Reports - 2008 Page 4 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 597 865 808 478 317 209 2008 Actual Physicians 523 /100k 27.6 Status Deficit: -74 Deficit: -342 Deficit: -285 Surplus: 45 Surplus: 206 Surplus: 314 9.2 174 Surplus: 349 16.2 307 22.5 427 23.6 447 Surplus: 216 Surplus: 96 Surplus: 76 2015 Projected Population 2,077,897 Physician Need 655 948 885 524 347 229 191 337 468 490 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 Population 1,895,861 Physician Need 80 59 2008 Actual Physicians 57 Status Deficit: Deficit: /100k 3.0 -23 -2 3.2 61 1.7 32 1.7 32 Deficit: -4 Surplus: 25 Surplus: 25 1.3 25 3.5 66 2.4 46 Surplus: 32 Deficit: -9 Surplus: 11 2015 Projected Population 2,077,897 Physician Need 87 64 66 35 35 27 73 50 Georgia Physician Workforce: AHEC Reports - 2008 Page 5 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 66 47 46 68 44 34 30 49 23 2008 Actual Physicians 7 Status Deficit: Deficit: Deficit: Deficit: Deficit: Deficit: Deficit: Deficit: Deficit: /100k 0.4 -59 -40 -39 -61 -37 -27 -23 -42 -16 1.1 20 2.1 40 Deficit: -13 Deficit: -33 2015 Projected Population 2,077,897 Physician Need 73 52 50 75 48 37 33 54 25 22 44 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 Population 1,895,861 Physician Need 42 13 11 17 23 13 11 2008 Actual Physicians 21 Status Deficit: Surplus: Surplus: Surplus: Deficit: Surplus: Surplus: /100k 1.1 -21 8 10 4 -2 8 10 0.8 15 Surplus: 6 2015 Projected Population 2,077,897 Physician Need 46 15 12 19 25 15 12 17 Georgia Physician Workforce: AHEC Reports - 2008 Page 6 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 1,007 406 379 546 533 574 2008 Actual Physicians 465 /100k 24.5 Status Deficit: -542 Surplus: 59 Surplus: 86 Deficit: -81 Deficit: -68 Deficit: -109 16.7 317 Surplus: 148 11.3 214 19.0 360 22.0 417 Surplus: 251 Surplus: 105 Surplus: 48 2015 Projected Population 2,077,897 Physician Need 1,103 445 416 598 584 630 347 235 395 457 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 Population 1,895,861 Physician Need 49 27 25 21 15 13 17 2008 Actual Physicians 57 Status Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 3.0 8 30 32 36 42 44 40 0.7 14 1.0 19 Surplus: 43 Surplus: 38 2015 Projected Population 2,077,897 Physician Need 54 29 27 23 17 15 19 15 21 Georgia Physician Workforce: AHEC Reports - 2008 Page 7 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 36 21 19 21 27 2008 Actual Physicians 33 Status Deficit: Surplus: Surplus: Surplus: Surplus: /100k 1.7 -3 12 14 12 6 0.4 8 Surplus: 25 0.7 13 Surplus: 20 1.0 19 Surplus: 14 2015 Projected Population 2,077,897 Physician Need 39 23 21 23 29 8 15 21 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 Population 1,895,861 Physician Need 95 46 44 63 25 32 23 2008 Actual Physicians 69 Status Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 3.6 -26 23 25 6 44 37 46 2.1 40 1.4 27 1.8 34 1.9 36 Surplus: 29 Surplus: 42 Surplus: 35 Surplus: 33 2015 Projected Population 2,077,897 Physician Need 104 50 48 69 27 35 25 44 29 37 39 Georgia Physician Workforce: AHEC Reports - 2008 Page 8 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 267 229 214 188 220 218 190 167 159 152 193 193 2008 Actual Physicians 196 Status Deficit: Deficit: Deficit: Surplus: Deficit: Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 10.3 -71 -33 -18 8 -24 -22 6 29 37 44 3 3 2015 Projected Population 2,077,897 Physician Need 293 251 235 206 241 239 208 183 175 166 211 212 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 Population 1,895,861 Physician Need 114 112 104 87 46 59 95 2008 Actual Physicians 68 Status Deficit: Deficit: Deficit: Deficit: Surplus: Surplus: Deficit: /100k 3.6 -46 -44 -36 -19 22 9 -27 3.5 66 3.2 61 4.7 89 4.2 80 Surplus: 2 Surplus: 7 Deficit: -21 Deficit: -12 2015 Projected Population 2,077,897 Physician Need 125 123 114 96 50 64 104 73 66 98 87 Georgia Physician Workforce: AHEC Reports - 2008 Page 9 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 157 129 121 114 112 80 127 57 112 80 116 104 2008 Actual Physicians 123 Status Deficit: Deficit: Surplus: Surplus: Surplus: Surplus: Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 6.5 -34 -6 2 9 11 43 -4 66 11 43 7 19 2015 Projected Population 2,077,897 Physician Need 172 141 133 125 123 87 139 62 123 87 127 114 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 Population 1,895,861 Physician Need 64 61 2008 Actual Physicians 52 Status Deficit: Deficit: /100k 2.7 -12 -9 3.2 61 3.4 64 2.4 46 3.0 57 Deficit: -9 Deficit: -12 Surplus: 6 Deficit: -5 3.0 57 Deficit: -5 2015 Projected Population 2,077,897 Physician Need 71 66 66 71 50 62 62 Georgia Physician Workforce: AHEC Reports - 2008 Page 10 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 119 36 34 121 63 34 2008 Actual Physicians 63 Status Deficit: Surplus: Surplus: Deficit: Adequate Surplus: /100k 3.3 -56 27 29 -58 0 29 4.1 78 Deficit: -15 3.2 61 Surplus: 2 2015 Projected Population 2,077,897 Physician Need 131 39 37 133 69 37 85 66 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 Population 1,895,861 Physician Need 472 315 294 235 226 303 2008 Actual Physicians 325 /100k 17.1 Status Deficit: -147 Surplus: 10 Surplus: 31 Surplus: 90 Surplus: 99 Surplus: 22 9.8 186 Surplus: 139 7.6 144 13.9 264 13.0 246 Surplus: 181 Surplus: 61 Surplus: 79 2015 Projected Population 2,077,897 Physician Need 517 345 322 258 247 332 204 158 289 270 Georgia Physician Workforce: AHEC Reports - 2008 Page 11 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 46 2008 Actual Physicians 40 Status Deficit: /100k 2.1 -6 1.1 21 0.3 6 0.4 8 1.1 21 2.3 44 2.2 42 1.2 23 Surplus: 19 Surplus: 34 Surplus: 32 Surplus: 19 Deficit: -4 Deficit: -2 Surplus: 17 2015 Projected Population 2,077,897 Physician Need 50 23 6 8 23 48 46 25 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 Population 1,895,861 Physician Need 258 146 137 292 99 78 2008 Actual Physicians 175 /100k 9.2 Status Deficit: -83 Surplus: 29 Surplus: 38 Deficit: -117 Surplus: 76 Surplus: 97 7.2 137 3.9 74 5.7 109 7.1 135 Surplus: 38 Surplus: 101 Surplus: 66 Surplus: 40 2015 Projected Population 2,077,897 Physician Need 283 160 150 320 108 85 150 81 119 148 Georgia Physician Workforce: AHEC Reports - 2008 Page 12 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 66 38 36 27 27 19 27 2008 Actual Physicians 50 Status Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 2.6 -16 12 14 23 23 31 23 1.4 27 Surplus: 23 1.3 25 1.5 28 Surplus: 25 Surplus: 22 2015 Projected Population 2,077,897 Physician Need 73 42 39 29 29 21 29 29 27 31 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 Population 1,895,861 Physician Need 216 258 260 146 161 89 146 2008 Actual Physicians 149 /100k 7.9 Status Deficit: -67 Deficit: -109 Deficit: -111 Surplus: 3 Deficit: -12 Surplus: 60 Surplus: 3 8.0 152 Deficit: -3 9.1 173 Deficit: -24 2015 Projected Population 2,077,897 Physician Need 237 283 285 160 177 98 160 166 189 Georgia Physician Workforce: AHEC Reports - 2008 Page 13 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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 Population 1,895,861 Physician Need 28 21 19 13 8 13 13 2008 Actual Physicians 20 Status Deficit: Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 1.1 -8 -1 1 7 12 7 7 0.4 8 Surplus: 12 1.3 25 0.8 15 Deficit: -5 Surplus: 5 2015 Projected Population 2,077,897 Physician Need 31 23 21 15 8 15 15 8 28 17 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 Population 1,895,861 Physician Need 237 178 167 184 133 118 112 80 184 78 114 135 2008 Actual Physicians 138 Status Deficit: Deficit: Deficit: Deficit: Surplus: Surplus: Surplus: Surplus: Deficit: Surplus: Surplus: Surplus: /100k 7.3 -99 -40 -29 -46 5 20 26 58 -46 60 24 3 2015 Projected Population 2,077,897 Physician Need 260 195 183 202 145 129 123 87 202 85 125 148 Georgia Physician Workforce: AHEC Reports - 2008 Page 14 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes Physician Specialty Thoracic 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. 1.5 Population 1,895,861 Physician Need 28 2008 Actual Physicians 7 Status Deficit: /100k 0.4 -21 0.8 15 0.1 2 Deficit: -8 Surplus: 5 0.5 9 Deficit: -2 2015 Projected Population 2,077,897 Physician Need 31 17 2 10 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 Population 1,895,861 Physician Need 66 66 63 59 63 44 55 2008 Actual Physicians 60 Status Deficit: Deficit: Deficit: Surplus: Deficit: Surplus: Surplus: /100k 3.2 -6 -6 -3 1 -3 16 5 2.6 49 1.9 36 2.9 54 2.9 55 Surplus: 11 Surplus: 24 Surplus: 6 Surplus: 5 2015 Projected Population 2,077,897 Physician Need 73 73 69 64 69 48 60 54 39 59 60 Georgia Physician Workforce: AHEC Reports - 2008 Page 15 Foothills AHEC Physician Standard Report Included Counties: Banks, Barrow, Clarke, Columbia, Elbert, Franklin, Glascock, Greene, Gwinnett, Habersham, Hall, Hart, Jackson, Lincoln, Lumpkin, McDuffie, Madison, Morgan, Oconee, Oglethorpe, Putnam, Rabun, Richmond, Stephens, Taliaferro, Towns, Union, Walton, Warren, White, Wilkes 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.