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

58 Georgia Physician Workforce: County Reports - 2008
Forsyth 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

158,369

3

1.9

Physician Need
22

Status Deficit: -19

15

Deficit: -12

14

Deficit: -11

14

Deficit: -11

9

Deficit: -6

6

Deficit: -3

14

Deficit: -11

11

Deficit: -8

12

Deficit: -9

2015 Projected
Population 221,128
Physician Need 31 21 20 20 9 9 20
15
17

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

158,369

7

4.4

Physician Need
12

Status Deficit: -5

9

Deficit: -2

8

Deficit: -1

5

Surplus: 2

5

Surplus: 2

3

Surplus: 4

5

Surplus: 2

6

Surplus: 1

4

Surplus: 3

7

Adequate 0

6

Surplus: 1

2015 Projected
Population 221,128
Physician Need 17 12 11 7 4 4 6
8 6 9 8

58 Georgia Physician Workforce: County Reports - 2008
Forsyth 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

158,369

4

2.5

Physician Need
6

Status Deficit: -2

4

Adequate 0

4

Adequate 0

4

Adequate 0

4

Adequate 0

4

Adequate 0

4

Adequate 0

3

Surplus: 1

2

Surplus: 2

3

Surplus: 1

5

Deficit: -1

4

Adequate 0

2015 Projected
Population 221,128
Physician Need 8 6 6 6 5 5 6 4 3 5 7 5

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

158,369

13

8.2

Physician Need
17

Status Deficit: -4

9

Surplus: 4

8

Surplus: 5

9

Surplus: 4

11

Surplus: 2

8

Surplus: 5

4

Surplus: 9

20

Deficit: -7

10

Surplus: 3

2015 Projected
Population 221,128
Physician Need 23 12 11 12 12 12
6
27 14

58 Georgia Physician Workforce: County Reports - 2008
Forsyth 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

158,369

43

27.2

Physician Need
50

Status Deficit: -7

72

Deficit: -29

67

Deficit: -24

40

Surplus: 3

26

Surplus: 17

17

Surplus: 26

15

Surplus: 28

26

Surplus: 17

36

Surplus: 7

37

Surplus: 6

2015 Projected
Population 221,128
Physician Need 70 101 94 56 24 24
20
36 50 52

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

158,369

3

1.9

Physician Need
7

Status Deficit: -4

5

Deficit: -2

5

Deficit: -2

3

Adequate 0

3

Adequate 0

2

Surplus: 1

6

Deficit: -3

4

Deficit: -1

2015 Projected
Population 221,128
Physician Need 9 7
7 4 4
3
8 5

58 Georgia Physician Workforce: County Reports - 2008
Forsyth County Physician Standard Report

Page 4

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

158,369

1

0.6

Physician Need
6

Status Deficit: -5

4

Deficit: -3

4

Deficit: -3

6

Deficit: -5

4

Deficit: -3

3

Deficit: -2

3

Deficit: -2

4

Deficit: -3

2

Deficit: -1

2

Deficit: -1

3

Deficit: -2

2015 Projected
Population 221,128
Physician Need 8 6 5 8 4 4 4 6 3
2 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

158,369

1

0.6

Physician Need
3

Status Deficit: -2

1

Adequate 0

1

Adequate 0

1

Adequate 0

2

Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

2015 Projected
Population 221,128
Physician Need 5 2 1 2 2 2 1
2

58 Georgia Physician Workforce: County Reports - 2008
Forsyth County Physician Standard Report

Page 5

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

158,369

29

18.3

Physician Need
84

Status Deficit: -55

34

Deficit: -5

32

Deficit: -3

46

Deficit: -17

45

Deficit: -16

48

Deficit: -19

26

Surplus: 3

18

Surplus: 11

30

Deficit: -1

35

Deficit: -6

2015 Projected
Population 221,128
Physician Need 117 47 44 64 67 67
37
25 42 49

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

158,369

1

0.6

Physician Need
4

Status Deficit: -3

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 221,128
Physician Need 6 3 3 2 2 2 2
2 2

58 Georgia Physician Workforce: County Reports - 2008
Forsyth County Physician Standard Report

Page 6

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

158,369

1

0.6

Physician Need
3

Status Deficit: -2

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 221,128
Physician Need 4 2 2 2
1
2
2

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

158,369

1

0.6

Physician Need
8

Status Deficit: -7

4

Deficit: -3

4

Deficit: -3

5

Deficit: -4

2

Deficit: -1

3

Deficit: -2

2

Deficit: -1

3

Deficit: -2

2

Deficit: -1

3

Deficit: -2

3

Deficit: -2

2015 Projected
Population 221,128
Physician Need 11 5 5 7 4 4 3
5 3 4 4

58 Georgia Physician Workforce: County Reports - 2008
Forsyth 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

158,369

3

1.9

Physician Need
22

Status Deficit: -19

19

Deficit: -16

18

Deficit: -15

16

Deficit: -13

18

Deficit: -15

18

Deficit: -15

16

Deficit: -13

14

Deficit: -11

13

Deficit: -10

13

Deficit: -10

16

Deficit: -13

16

Deficit: -13

2015 Projected
Population 221,128
Physician Need 31 27 25 22 25 25 22 19 19 18 22 23

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

158,369

4

2.5

Physician Need
10

Status Deficit: -6

9

Deficit: -5

9

Deficit: -5

7

Deficit: -3

4

Adequate 0

5

Deficit: -1

8

Deficit: -4

6

Deficit: -2

5

Deficit: -1

7

Deficit: -3

7

Deficit: -3

2015 Projected
Population 221,128
Physician Need 13 13 12 10 7 7 11
8 7 10 9

58 Georgia Physician Workforce: County Reports - 2008
Forsyth 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

158,369

16

10.1

Physician Need
13

Status Surplus: 3

11

Surplus: 5

10

Surplus: 6

10

Surplus: 6

9

Surplus: 7

7

Surplus: 9

11

Surplus: 5

5

Surplus: 11

9

Surplus: 7

7

Surplus: 9

10

Surplus: 6

9

Surplus: 7

2015 Projected
Population 221,128
Physician Need 18 15 14 13 9 9 15 7 13 9 14 12

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

158,369

6

3.8

Physician Need
5

Status Surplus: 1

5

Surplus: 1

5

Surplus: 1

5

Surplus: 1

4

Surplus: 2

5

Surplus: 1

5

Surplus: 1

2015 Projected
Population 221,128
Physician Need 8 7
7 5 5 7
7

58 Georgia Physician Workforce: County Reports - 2008
Forsyth 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

158,369

23

14.5

Physician Need
39

Status Deficit: -16

26

Deficit: -3

25

Deficit: -2

20

Surplus: 3

19

Surplus: 4

25

Deficit: -2

16

Surplus: 7

12

Surplus: 11

22

Surplus: 1

21

Surplus: 2

2015 Projected
Population 221,128
Physician Need 55 37 34 27 35 35
22
17 31 29

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

158,369

3

1.9

Physician Need
4

Status Deficit: -1

2

Surplus: 1

0

Surplus: 3

1

Surplus: 2

2

Surplus: 1

4

Deficit: -1

4

Deficit: -1

2

Surplus: 1

2015 Projected
Population 221,128
Physician Need 5
2
1
2 5 5 3

58 Georgia Physician Workforce: County Reports - 2008
Forsyth 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

158,369

8

5.1

Physician Need
22

Status Deficit: -14

12

Deficit: -4

11

Deficit: -3

24

Deficit: -16

8

Adequate 0

6

Surplus: 2

11

Deficit: -3

6

Surplus: 2

9

Deficit: -1

11

Deficit: -3

2015 Projected
Population 221,128
Physician Need 30 17 16 34 9 9
16 9 13 16

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

158,369

3

1.9

Physician Need
6

Status Deficit: -3

3

Adequate 0

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2015 Projected
Population 221,128
Physician Need 8 4 4 3 2 2 3
3
3 3

58 Georgia Physician Workforce: County Reports - 2008
Forsyth 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

158,369

6

3.8

Physician Need
18

Status Deficit: -12

22

Deficit: -16

22

Deficit: -16

12

Deficit: -6

13

Deficit: -7

7

Deficit: -1

12

Deficit: -6

13

Deficit: -7

14

Deficit: -8

2015 Projected
Population 221,128
Physician Need 25 30 30 17 10 10 17
18
20

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

158,369

1

0.6

Physician Need
2

Status Deficit: -1

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

2

Deficit: -1

1

Adequate 0

2015 Projected
Population 221,128
Physician Need 3 2 2 2 2 2 2
1
3 2

58 Georgia Physician Workforce: County Reports - 2008
Forsyth County Physician Standard Report

Page 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

158,369

5

3.2

Physician Need
20

Status Deficit: -15

15

Deficit: -10

14

Deficit: -9

15

Deficit: -10

11

Deficit: -6

10

Deficit: -5

9

Deficit: -4

7

Deficit: -2

15

Deficit: -10

6

Deficit: -1

10

Deficit: -5

11

Deficit: -6

2015 Projected
Population 221,128
Physician Need 28 21 19 21 14 14 13 9 21 9 13 16

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

158,369

2

1.3

Physician Need
6

Status Deficit: -4

6

Deficit: -4

5

Deficit: -3

5

Deficit: -3

5

Deficit: -3

4

Deficit: -2

5

Deficit: -3

4

Deficit: -2

3

Deficit: -1

5

Deficit: -3

5

Deficit: -3

2015 Projected
Population 221,128
Physician Need 8 8 7 7 5 5 6
6 4 6 6

58 Georgia Physician Workforce: County Reports - 2008 Page 13
Forsyth 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.