Georgia physician workforce: county reports 2008 Henry County physician standard report

75 Georgia Physician Workforce: County Reports - 2008
Henry 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

184,902

1

0.5

Physician Need
3

Status Deficit: -2

3

Deficit: -2

3

Deficit: -2

1

Adequate 0

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

3

Deficit: -2

2

Deficit: -1

2015 Projected
Population 247,235
Physician Need 3 4 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

184,902

7

3.8

Physician Need
26

Status Deficit: -19

18

Deficit: -11

17

Deficit: -10

16

Deficit: -9

11

Deficit: -4

7

Adequate 0

17

Deficit: -10

13

Deficit: -6

14

Deficit: -7

2015 Projected
Population 247,235
Physician Need 35 24 22 22 10 10 22
17
19

75 Georgia Physician Workforce: County Reports - 2008
Henry 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

184,902

5

2.7

Physician Need
14

Status Deficit: -9

10

Deficit: -5

9

Deficit: -4

6

Deficit: -1

6

Deficit: -1

3

Surplus: 2

5

Adequate 0

7

Deficit: -2

5

Adequate 0

8

Deficit: -3

6

Deficit: -1

2015 Projected
Population 247,235
Physician Need 19 13 12 8 4 4 7
9 6 10 9

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

184,902

7

3.8

Physician Need
7

Status Adequate 0

5

Surplus: 2

5

Surplus: 2

5

Surplus: 2

5

Surplus: 2

4

Surplus: 3

5

Surplus: 2

3

Surplus: 4

3

Surplus: 4

4

Surplus: 3

6

Surplus: 1

4

Surplus: 3

2015 Projected
Population 247,235
Physician Need 9 7 6 7 6 6 6 4 3 5 8 6

75 Georgia Physician Workforce: County Reports - 2008
Henry 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

184,902

7

3.8

Physician Need
19

Status Deficit: -12

10

Deficit: -3

10

Deficit: -3

10

Deficit: -3

12

Deficit: -5

10

Deficit: -3

5

Surplus: 2

23

Deficit: -16

11

Deficit: -4

2015 Projected
Population 247,235
Physician Need 26 14 13 13 13 13
7
31 15

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

184,902

2

1.1

Physician Need
3

Status Deficit: -1

2

Adequate 0

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2015 Projected
Population 247,235
Physician Need 4 3 2 2 3 3
1
2

75 Georgia Physician Workforce: County Reports - 2008
Henry 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

184,902

44

23.8

Physician Need
58

Status Deficit: -14

84

Deficit: -40

79

Deficit: -35

47

Deficit: -3

31

Surplus: 13

20

Surplus: 24

17

Surplus: 27

30

Surplus: 14

42

Surplus: 2

44

Adequate 0

2015 Projected
Population 247,235
Physician Need 78 113 105 62 27 27
23
40 56 58

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

184,902

8

4.3

Physician Need
8

Status Adequate 0

6

Surplus: 2

6

Surplus: 2

3

Surplus: 5

3

Surplus: 5

2

Surplus: 6

6

Surplus: 2

4

Surplus: 4

2015 Projected
Population 247,235
Physician Need 10 8
8 4 4
3
9 6

75 Georgia Physician Workforce: County Reports - 2008
Henry 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

184,902

1

0.5

Physician Need
6

Status Deficit: -5

5

Deficit: -4

4

Deficit: -3

7

Deficit: -6

4

Deficit: -3

3

Deficit: -2

3

Deficit: -2

5

Deficit: -4

2

Deficit: -1

2

Deficit: -1

4

Deficit: -3

2015 Projected
Population 247,235
Physician Need 9 6 6 9 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

184,902

18

9.7

Physician Need
98

Status Deficit: -80

40

Deficit: -22

37

Deficit: -19

53

Deficit: -35

52

Deficit: -34

56

Deficit: -38

31

Deficit: -13

21

Deficit: -3

35

Deficit: -17

41

Deficit: -23

2015 Projected
Population 247,235
Physician Need 131 53 49 71 75 75
41
28 47 54

75 Georgia Physician Workforce: County Reports - 2008
Henry 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

184,902

3

1.6

Physician Need
5

Status Deficit: -2

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

1

Surplus: 2

2

Surplus: 1

1

Surplus: 2

2

Surplus: 1

2015 Projected
Population 247,235
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

184,902

1

0.5

Physician Need
4

Status Deficit: -3

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

3

Deficit: -2

1

Adequate 0

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 247,235
Physician Need 5 3 2 3
1
2
2

75 Georgia Physician Workforce: County Reports - 2008
Henry 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

184,902

5

2.7

Physician Need
9

Status Deficit: -4

4

Surplus: 1

4

Surplus: 1

6

Deficit: -1

2

Surplus: 3

3

Surplus: 2

2

Surplus: 3

4

Surplus: 1

3

Surplus: 2

3

Surplus: 2

4

Surplus: 1

2015 Projected
Population 247,235
Physician Need 12 6 6 8 4 4 3
5 3 4 5

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

184,902

16

8.7

Physician Need
26

Status Deficit: -10

22

Deficit: -6

21

Deficit: -5

18

Deficit: -2

21

Deficit: -5

21

Deficit: -5

18

Deficit: -2

16

Adequate 0

16

Adequate 0

15

Surplus: 1

19

Deficit: -3

19

Deficit: -3

2015 Projected
Population 247,235
Physician Need 35 30 28 24 28 28 25 22 21 20 25 25

75 Georgia Physician Workforce: County Reports - 2008
Henry 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

184,902

11

5.9

Physician Need
15

Status Deficit: -4

13

Deficit: -2

12

Deficit: -1

11

Adequate 0

11

Adequate 0

8

Surplus: 3

12

Deficit: -1

6

Surplus: 5

11

Adequate 0

8

Surplus: 3

11

Adequate 0

10

Surplus: 1

2015 Projected
Population 247,235
Physician Need 21 17 16 15 10 10 17 7 15 10 15 14

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

184,902

4

2.2

Physician Need
6

Status Deficit: -2

6

Deficit: -2

6

Deficit: -2

6

Deficit: -2

4

Adequate 0

6

Deficit: -2

6

Deficit: -2

2015 Projected
Population 247,235
Physician Need 8 8
8 6 6 7
7

75 Georgia Physician Workforce: County Reports - 2008
Henry County Physician Standard Report

Page 9

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

184,902

4

2.2

Physician Need
12

Status Deficit: -8

4

Adequate 0

3

Surplus: 1

12

Deficit: -8

6

Deficit: -2

3

Surplus: 1

8

Deficit: -4

6

Deficit: -2

2015 Projected
Population 247,235
Physician Need 16 5 4 16 4 4
10
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

184,902

21

11.4

Physician Need
46

Status Deficit: -25

31

Deficit: -10

29

Deficit: -8

23

Deficit: -2

22

Deficit: -1

30

Deficit: -9

18

Surplus: 3

14

Surplus: 7

26

Deficit: -5

24

Deficit: -3

2015 Projected
Population 247,235
Physician Need 62 41 38 31 40 40
24
19 34 32

75 Georgia Physician Workforce: County Reports - 2008
Henry County Physician Standard Report

Page 10

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

184,902

2

1.1

Physician Need
4

Status Deficit: -2

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

2

Adequate 0

4

Deficit: -2

4

Deficit: -2

2

Adequate 0

2015 Projected
Population 247,235
Physician Need 6
3
1
3 6 5 3

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

184,902

13

7.0

Physician Need
25

Status Deficit: -12

14

Deficit: -1

13

Adequate 0

28

Deficit: -15

10

Surplus: 3

8

Surplus: 5

13

Adequate 0

7

Surplus: 6

11

Surplus: 2

13

Adequate 0

2015 Projected
Population 247,235
Physician Need 34 19 18 38 10 10
18 10 14 18

75 Georgia Physician Workforce: County Reports - 2008
Henry County Physician Standard Report

Page 11

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

184,902

2

1.1

Physician Need
6

Status Deficit: -4

4

Deficit: -2

4

Deficit: -2

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

3

Deficit: -1

2015 Projected
Population 247,235
Physician Need 9 5 5 3 2 2 3
3
3 4

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

184,902

2

1.1

Physician Need
21

Status Deficit: -19

25

Deficit: -23

25

Deficit: -23

14

Deficit: -12

16

Deficit: -14

9

Deficit: -7

14

Deficit: -12

15

Deficit: -13

17

Deficit: -15

2015 Projected
Population 247,235
Physician Need 28 34 34 19 12 12 19
20
22

75 Georgia Physician Workforce: County Reports - 2008
Henry County Physician Standard Report

Page 12

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

184,902

1

0.5

Physician Need
3

Status Deficit: -2

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 247,235
Physician Need 4 3 2 2 2 2 2
1
3 2

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

184,902

6

3.2

Physician Need
23

Status Deficit: -17

17

Deficit: -11

16

Deficit: -10

18

Deficit: -12

13

Deficit: -7

11

Deficit: -5

11

Deficit: -5

8

Deficit: -2

18

Deficit: -12

8

Deficit: -2

11

Deficit: -5

13

Deficit: -7

2015 Projected
Population 247,235
Physician Need 31 23 22 24 15 15 15 10 24 10 15 18

75 Georgia Physician Workforce: County Reports - 2008
Henry County Physician Standard Report

Page 13

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

184,902

1

0.5

Physician Need
3

Status Deficit: -2

1

Adequate 0

0

Surplus: 1

1

Adequate 0

2015 Projected
Population 247,235
Physician Need 4
2
1

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

184,902

5

2.7

Physician Need
6

Status Deficit: -1

6

Deficit: -1

6

Deficit: -1

6

Deficit: -1

6

Deficit: -1

4

Surplus: 1

5

Adequate 0

5

Adequate 0

4

Surplus: 1

5

Adequate 0

5

Adequate 0

2015 Projected
Population 247,235
Physician Need 9 9 8 8 6 6 7
6 5 7 7

75 Georgia Physician Workforce: County Reports - 2008 Page 14
Henry 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.