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.