76 Georgia Physician Workforce: County Reports - 2008 Houston 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 131,291 7 5.3 Physician Need 18 Status Deficit: -11 13 Deficit: -6 12 Deficit: -5 12 Deficit: -5 8 Deficit: -1 5 Surplus: 2 12 Deficit: -5 9 Deficit: -2 10 Deficit: -3 2015 Projected Population 149,875 Physician Need 21 15 14 13 6 6 13 10 11 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 131,291 8 6.1 Physician Need 10 Status Deficit: -2 7 Surplus: 1 7 Surplus: 1 4 Surplus: 4 4 Surplus: 4 2 Surplus: 6 4 Surplus: 4 5 Surplus: 3 3 Surplus: 5 6 Surplus: 2 5 Surplus: 3 2015 Projected Population 149,875 Physician Need 11 8 7 5 3 3 4 5 4 6 5 76 Georgia Physician Workforce: County Reports - 2008 Houston 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 131,291 4 3.0 Physician Need 5 Status Deficit: -1 4 Adequate 0 3 Surplus: 1 4 Adequate 0 3 Surplus: 1 3 Surplus: 1 3 Surplus: 1 2 Surplus: 2 2 Surplus: 2 3 Surplus: 1 4 Adequate 0 3 Surplus: 1 2015 Projected Population 149,875 Physician Need 6 4 4 4 4 4 4 2 2 3 5 4 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 131,291 14 10.7 Physician Need 14 Status Adequate 0 7 Surplus: 7 7 Surplus: 7 7 Surplus: 7 9 Surplus: 5 7 Surplus: 7 4 Surplus: 10 16 Deficit: -2 8 Surplus: 6 2015 Projected Population 149,875 Physician Need 16 8 8 8 8 8 4 19 9 76 Georgia Physician Workforce: County Reports - 2008 Houston 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 131,291 31 23.6 Physician Need 41 Status Deficit: -10 60 Deficit: -29 56 Deficit: -25 33 Deficit: -2 22 Surplus: 9 14 Surplus: 17 12 Surplus: 19 21 Surplus: 10 30 Surplus: 1 31 Adequate 0 2015 Projected Population 149,875 Physician Need 47 68 64 38 16 16 14 24 34 35 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 131,291 1 0.8 Physician Need 6 Status Deficit: -5 4 Deficit: -3 4 Deficit: -3 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 5 Deficit: -4 3 Deficit: -2 2015 Projected Population 149,875 Physician Need 6 5 5 3 3 2 5 4 76 Georgia Physician Workforce: County Reports - 2008 Houston County Physician Standard Report Page 4 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 131,291 3 2.3 Physician Need 3 Status Adequate 0 1 Surplus: 2 1 Surplus: 2 1 Surplus: 2 2 Surplus: 1 1 Surplus: 2 1 Surplus: 2 1 Surplus: 2 2015 Projected Population 149,875 Physician Need 3 1 1 1 1 1 1 1 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 131,291 33 25.1 Physician Need 70 Status Deficit: -37 28 Surplus: 5 26 Surplus: 7 38 Deficit: -5 37 Deficit: -4 40 Deficit: -7 22 Surplus: 11 15 Surplus: 18 25 Surplus: 8 29 Surplus: 4 2015 Projected Population 149,875 Physician Need 80 32 30 43 45 45 25 17 28 33 76 Georgia Physician Workforce: County Reports - 2008 Houston County Physician Standard Report Page 5 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 131,291 5 3.8 Physician Need 3 Status Surplus: 2 2 Surplus: 3 2 Surplus: 3 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 1 Surplus: 4 2015 Projected Population 149,875 Physician Need 4 2 2 2 1 1 1 1 1 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 131,291 2 1.5 Physician Need 7 Status Deficit: -5 3 Deficit: -1 3 Deficit: -1 4 Deficit: -2 2 Adequate 0 2 Adequate 0 2 Adequate 0 3 Deficit: -1 2 Adequate 0 2 Adequate 0 2 Adequate 0 2015 Projected Population 149,875 Physician Need 7 4 3 5 3 3 2 3 2 3 3 76 Georgia Physician Workforce: County Reports - 2008 Houston County Physician Standard Report Page 6 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 131,291 14 10.7 Physician Need 19 Status Deficit: -5 16 Deficit: -2 15 Deficit: -1 13 Surplus: 1 15 Deficit: -1 15 Deficit: -1 13 Surplus: 1 12 Surplus: 2 11 Surplus: 3 11 Surplus: 3 13 Surplus: 1 13 Surplus: 1 2015 Projected Population 149,875 Physician Need 21 18 17 15 17 17 15 13 13 12 15 15 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 131,291 7 5.3 Physician Need 8 Status Deficit: -1 8 Deficit: -1 7 Adequate 0 6 Surplus: 1 3 Surplus: 4 4 Surplus: 3 7 Adequate 0 5 Surplus: 2 4 Surplus: 3 6 Surplus: 1 6 Surplus: 1 2015 Projected Population 149,875 Physician Need 9 9 8 7 5 5 7 5 5 7 6 76 Georgia Physician Workforce: County Reports - 2008 Houston County Physician Standard Report Page 7 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 131,291 11 8.4 Physician Need 11 Status Adequate 0 9 Surplus: 2 8 Surplus: 3 8 Surplus: 3 8 Surplus: 3 6 Surplus: 5 9 Surplus: 2 4 Surplus: 7 8 Surplus: 3 6 Surplus: 5 8 Surplus: 3 7 Surplus: 4 2015 Projected Population 149,875 Physician Need 12 10 10 9 6 6 10 4 9 6 9 8 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 131,291 3 2.3 Physician Need 4 Status Deficit: -1 4 Deficit: -1 4 Deficit: -1 4 Deficit: -1 3 Adequate 0 4 Deficit: -1 4 Deficit: -1 2015 Projected Population 149,875 Physician Need 5 5 5 4 4 4 4 76 Georgia Physician Workforce: County Reports - 2008 Houston County Physician Standard Report Page 8 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 131,291 4 3.0 Physician Need 8 Status Deficit: -4 2 Surplus: 2 2 Surplus: 2 8 Deficit: -4 4 Adequate 0 2 Surplus: 2 5 Deficit: -1 4 Adequate 0 2015 Projected Population 149,875 Physician Need 9 3 3 10 3 3 6 5 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 131,291 17 12.9 Physician Need 33 Status Deficit: -16 22 Deficit: -5 20 Deficit: -3 16 Surplus: 1 16 Surplus: 1 21 Deficit: -4 13 Surplus: 4 10 Surplus: 7 18 Deficit: -1 17 Adequate 0 2015 Projected Population 149,875 Physician Need 37 25 23 19 24 24 15 11 21 19 76 Georgia Physician Workforce: County Reports - 2008 Houston County Physician Standard Report Page 9 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 131,291 9 6.9 Physician Need 18 Status Deficit: -9 10 Deficit: -1 9 Adequate 0 20 Deficit: -11 7 Surplus: 2 5 Surplus: 4 9 Adequate 0 5 Surplus: 4 8 Surplus: 1 9 Adequate 0 2015 Projected Population 149,875 Physician Need 20 12 11 23 6 6 11 6 9 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 131,291 4 3.0 Physician Need 5 Status Deficit: -1 3 Surplus: 1 2 Surplus: 2 2 Surplus: 2 2 Surplus: 2 1 Surplus: 3 2 Surplus: 2 2 Surplus: 2 2 Surplus: 2 2 Surplus: 2 2015 Projected Population 149,875 Physician Need 5 3 3 2 1 1 2 2 2 2 76 Georgia Physician Workforce: County Reports - 2008 Houston County Physician Standard Report Page 10 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 131,291 9 6.9 Physician Need 15 Status Deficit: -6 18 Deficit: -9 18 Deficit: -9 10 Deficit: -1 11 Deficit: -2 6 Surplus: 3 10 Deficit: -1 11 Deficit: -2 12 Deficit: -3 2015 Projected Population 149,875 Physician Need 17 20 21 12 7 7 12 12 14 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 131,291 6 4.6 Physician Need 16 Status Deficit: -10 12 Deficit: -6 12 Deficit: -6 13 Deficit: -7 9 Deficit: -3 8 Deficit: -2 8 Deficit: -2 6 Adequate 0 13 Deficit: -7 5 Surplus: 1 8 Deficit: -2 9 Deficit: -3 2015 Projected Population 149,875 Physician Need 19 14 13 15 9 9 9 6 15 6 9 11 76 Georgia Physician Workforce: County Reports - 2008 Houston County Physician Standard Report Page 11 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 131,291 2 1.5 Physician Need 5 Status Deficit: -3 5 Deficit: -3 4 Deficit: -2 4 Deficit: -2 4 Deficit: -2 3 Deficit: -1 4 Deficit: -2 3 Deficit: -1 2 Adequate 0 4 Deficit: -2 4 Deficit: -2 2015 Projected Population 149,875 Physician Need 5 5 5 5 3 3 4 4 3 4 4 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.