69 Georgia Physician Workforce: County Reports - 2008 Hall 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 178,838 4 2.2 Physician Need 3 Status Surplus: 1 3 Surplus: 1 3 Surplus: 1 1 Surplus: 3 3 Surplus: 1 2 Surplus: 2 2 Surplus: 2 2 Surplus: 2 3 Surplus: 1 2 Surplus: 2 2015 Projected Population 232,285 Physician Need 3 3 3 2 3 3 3 3 4 3 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 178,838 32 17.9 Physician Need 25 Status Surplus: 7 17 Surplus: 15 16 Surplus: 16 16 Surplus: 16 11 Surplus: 21 7 Surplus: 25 16 Surplus: 16 13 Surplus: 19 14 Surplus: 18 2015 Projected Population 232,285 Physician Need 33 23 21 21 9 9 21 16 18 69 Georgia Physician Workforce: County Reports - 2008 Hall 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 178,838 20 11.2 Physician Need 13 Status Surplus: 7 10 Surplus: 10 9 Surplus: 11 6 Surplus: 14 5 Surplus: 15 3 Surplus: 17 5 Surplus: 15 6 Surplus: 14 5 Surplus: 15 8 Surplus: 12 6 Surplus: 14 2015 Projected Population 232,285 Physician Need 17 13 12 7 4 4 7 8 6 10 8 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 178,838 4 2.2 Physician Need 7 Status Deficit: -3 5 Deficit: -1 5 Deficit: -1 5 Deficit: -1 4 Adequate 0 4 Adequate 0 5 Deficit: -1 3 Surplus: 1 3 Surplus: 1 4 Adequate 0 6 Deficit: -2 4 Adequate 0 2015 Projected Population 232,285 Physician Need 9 7 6 7 6 6 6 4 3 5 7 6 69 Georgia Physician Workforce: County Reports - 2008 Hall 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 178,838 17 9.5 Physician Need 19 Status Deficit: -2 10 Surplus: 7 9 Surplus: 8 10 Surplus: 7 12 Surplus: 5 9 Surplus: 8 5 Surplus: 12 22 Deficit: -5 11 Surplus: 6 2015 Projected Population 232,285 Physician Need 24 13 12 13 12 12 6 29 14 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 178,838 3 1.7 Physician Need 3 Status Adequate 0 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 2 Surplus: 1 2 Surplus: 1 1 Surplus: 2 2 Surplus: 1 2015 Projected Population 232,285 Physician Need 4 3 2 2 3 3 1 2 69 Georgia Physician Workforce: County Reports - 2008 Hall 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 178,838 39 21.8 Physician Need 56 Status Deficit: -17 82 Deficit: -43 76 Deficit: -37 45 Deficit: -6 30 Surplus: 9 20 Surplus: 19 16 Surplus: 23 29 Surplus: 10 40 Deficit: -1 42 Deficit: -3 2015 Projected Population 232,285 Physician Need 73 106 99 59 26 26 21 38 52 55 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 178,838 6 3.4 Physician Need 8 Status Deficit: -2 6 Adequate 0 6 Adequate 0 3 Surplus: 3 3 Surplus: 3 2 Surplus: 4 6 Adequate 0 4 Surplus: 2 2015 Projected Population 232,285 Physician Need 10 7 7 4 4 3 8 6 69 Georgia Physician Workforce: County Reports - 2008 Hall 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 178,838 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 5 Deficit: -4 2 Deficit: -1 2 Deficit: -1 4 Deficit: -3 2015 Projected Population 232,285 Physician Need 8 6 6 8 4 4 4 6 3 3 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 178,838 54 30.2 Physician Need 95 Status Deficit: -41 38 Surplus: 16 36 Surplus: 18 52 Surplus: 2 50 Surplus: 4 54 Adequate 0 30 Surplus: 24 20 Surplus: 34 34 Surplus: 20 39 Surplus: 15 2015 Projected Population 232,285 Physician Need 123 50 46 67 70 70 39 26 44 51 69 Georgia Physician Workforce: County Reports - 2008 Hall 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 178,838 2 1.1 Physician Need 5 Status Deficit: -3 3 Deficit: -1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 1 Surplus: 1 2 Adequate 0 2015 Projected Population 232,285 Physician Need 6 3 3 3 2 2 2 2 2 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 178,838 4 2.2 Physician Need 3 Status Surplus: 1 2 Surplus: 2 2 Surplus: 2 2 Surplus: 2 3 Surplus: 1 1 Surplus: 3 1 Surplus: 3 2 Surplus: 2 2015 Projected Population 232,285 Physician Need 4 3 2 3 1 2 2 69 Georgia Physician Workforce: County Reports - 2008 Hall County Physician Standard Report Page 7 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 178,838 6 3.4 Physician Need 9 Status Deficit: -3 4 Surplus: 2 4 Surplus: 2 6 Adequate 0 2 Surplus: 4 3 Surplus: 3 2 Surplus: 4 4 Surplus: 2 3 Surplus: 3 3 Surplus: 3 3 Surplus: 3 2015 Projected Population 232,285 Physician Need 12 6 5 8 4 4 3 5 3 4 4 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 178,838 19 10.6 Physician Need 25 Status Deficit: -6 22 Deficit: -3 20 Deficit: -1 18 Surplus: 1 21 Deficit: -2 21 Deficit: -2 18 Surplus: 1 16 Surplus: 3 15 Surplus: 4 14 Surplus: 5 18 Surplus: 1 18 Surplus: 1 2015 Projected Population 232,285 Physician Need 33 28 26 23 27 27 23 20 20 19 24 24 69 Georgia Physician Workforce: County Reports - 2008 Hall County Physician Standard Report Page 8 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 178,838 6 3.4 Physician Need 11 Status Deficit: -5 11 Deficit: -5 10 Deficit: -4 8 Deficit: -2 4 Surplus: 2 6 Adequate 0 9 Deficit: -3 6 Adequate 0 6 Adequate 0 8 Deficit: -2 8 Deficit: -2 2015 Projected Population 232,285 Physician Need 14 14 13 11 7 7 12 8 7 11 10 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 178,838 13 7.3 Physician Need 15 Status Deficit: -2 12 Surplus: 1 11 Surplus: 2 11 Surplus: 2 11 Surplus: 2 8 Surplus: 5 12 Surplus: 1 5 Surplus: 8 11 Surplus: 2 8 Surplus: 5 11 Surplus: 2 10 Surplus: 3 2015 Projected Population 232,285 Physician Need 19 16 15 14 10 10 16 7 14 10 14 13 69 Georgia Physician Workforce: County Reports - 2008 Hall County Physician Standard Report Page 9 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 178,838 7 3.9 Physician Need 6 Status Surplus: 1 6 Surplus: 1 6 Surplus: 1 6 Surplus: 1 4 Surplus: 3 5 Surplus: 2 5 Surplus: 2 2015 Projected Population 232,285 Physician Need 8 7 7 6 6 7 7 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 178,838 7 3.9 Physician Need 11 Status Deficit: -4 3 Surplus: 4 3 Surplus: 4 11 Deficit: -4 6 Surplus: 1 3 Surplus: 4 7 Adequate 0 6 Surplus: 1 2015 Projected Population 232,285 Physician Need 15 4 4 15 4 4 10 7 69 Georgia Physician Workforce: County Reports - 2008 Hall County Physician Standard Report Page 10 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 178,838 25 14.0 Physician Need 45 Status Deficit: -20 30 Deficit: -5 28 Deficit: -3 22 Surplus: 3 21 Surplus: 4 29 Deficit: -4 18 Surplus: 7 14 Surplus: 11 25 Adequate 0 23 Surplus: 2 2015 Projected Population 232,285 Physician Need 58 39 36 29 37 37 23 18 32 30 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 178,838 4 2.2 Physician Need 4 Status Adequate 0 2 Surplus: 2 1 Surplus: 3 1 Surplus: 3 2 Surplus: 2 4 Adequate 0 4 Adequate 0 2 Surplus: 2 2015 Projected Population 232,285 Physician Need 6 3 1 3 5 5 3 69 Georgia Physician Workforce: County Reports - 2008 Hall County Physician Standard Report Page 11 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 178,838 14 7.8 Physician Need 24 Status Deficit: -10 14 Adequate 0 13 Surplus: 1 28 Deficit: -14 9 Surplus: 5 7 Surplus: 7 13 Surplus: 1 7 Surplus: 7 10 Surplus: 4 13 Surplus: 1 2015 Projected Population 232,285 Physician Need 32 18 17 36 10 10 17 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 178,838 4 2.2 Physician Need 6 Status Deficit: -2 4 Adequate 0 3 Surplus: 1 3 Surplus: 1 3 Surplus: 1 2 Surplus: 2 3 Surplus: 1 3 Surplus: 1 2 Surplus: 2 3 Surplus: 1 2015 Projected Population 232,285 Physician Need 8 5 4 3 2 2 3 3 3 3 69 Georgia Physician Workforce: County Reports - 2008 Hall County Physician Standard Report Page 12 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 178,838 17 9.5 Physician Need 20 Status Deficit: -3 24 Deficit: -7 25 Deficit: -8 14 Surplus: 3 15 Surplus: 2 8 Surplus: 9 14 Surplus: 3 14 Surplus: 3 16 Surplus: 1 2015 Projected Population 232,285 Physician Need 26 32 32 18 11 11 18 19 21 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 178,838 2 1.1 Physician Need 3 Status Deficit: -1 2 Adequate 0 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 1 Surplus: 1 2015 Projected Population 232,285 Physician Need 3 3 2 2 2 2 2 1 3 2 69 Georgia Physician Workforce: County Reports - 2008 Hall County Physician Standard Report Page 13 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 178,838 16 8.9 Physician Need 22 Status Deficit: -6 17 Deficit: -1 16 Adequate 0 17 Deficit: -1 13 Surplus: 3 11 Surplus: 5 11 Surplus: 5 8 Surplus: 8 17 Deficit: -1 7 Surplus: 9 11 Surplus: 5 13 Surplus: 3 2015 Projected Population 232,285 Physician Need 29 22 20 23 14 14 14 10 23 10 14 16 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 0.8 0.1 0.5 2008 Actual Population Physicians /100k 178,838 1 0.6 Physician Need 3 Status Deficit: -2 1 Adequate 0 0 Surplus: 1 1 Adequate 0 2015 Projected Population 232,285 Physician Need 3 2 1 69 Georgia Physician Workforce: County Reports - 2008 Hall County Physician Standard Report Page 14 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 178,838 10 5.6 Physician Need 6 Status Surplus: 4 6 Surplus: 4 6 Surplus: 4 6 Surplus: 4 6 Surplus: 4 4 Surplus: 6 5 Surplus: 5 5 Surplus: 5 3 Surplus: 7 5 Surplus: 5 5 Surplus: 5 2015 Projected Population 232,285 Physician Need 8 8 8 7 5 5 7 6 4 7 7 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.