Georgia Physician Workforce PCSA reports - 2008: 2 PCSA standard report, included counties Murray, Whitfield

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

3

2.3

Physician Need
2

Status Surplus: 1

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2015 Projected
Population 140,825
Physician Need 2 2 2 1 2 2 2
2
2 2

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

130,703

7

5.4

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 140,825
Physician Need 20 14 13 13 8 5 13
10
11

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

7

5.4

Physician Need
10

Status Deficit: -3

7

Adequate 0

7

Adequate 0

4

Surplus: 3

4

Surplus: 3

2

Surplus: 5

4

Surplus: 3

5

Surplus: 2

3

Surplus: 4

6

Surplus: 1

5

Surplus: 2

2015 Projected
Population 140,825
Physician Need 11 8 7 4 4 3 4
5 4 6 5

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

130,703

5

3.8

Physician Need
5

Status Adequate 0

4

Surplus: 1

3

Surplus: 2

4

Surplus: 1

3

Surplus: 2

3

Surplus: 2

3

Surplus: 2

2

Surplus: 3

2

Surplus: 3

3

Surplus: 2

4

Surplus: 1

3

Surplus: 2

2015 Projected
Population 140,825
Physician Need 5 4 4 4 4 3 4 2 2 3 4 3

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

8

6.1

Physician Need
14

Status Deficit: -6

7

Surplus: 1

7

Surplus: 1

7

Surplus: 1

9

Deficit: -1

7

Surplus: 1

4

Surplus: 4

16

Deficit: -8

8

Adequate 0

2015 Projected
Population 140,825
Physician Need 15 8 7 8 9 7
4
17 9

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

130,703

1

0.8

Physician Need
2

Status Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

1

Adequate 0

2015 Projected
Population 140,825
Physician Need 3 2 1 1 1 2
1
1

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

34

26.0

Physician Need
41

Status Deficit: -7

60

Deficit: -26

56

Deficit: -22

33

Surplus: 1

22

Surplus: 12

14

Surplus: 20

12

Surplus: 22

21

Surplus: 13

29

Surplus: 5

31

Surplus: 3

2015 Projected
Population 140,825
Physician Need 44 64 60 35 24 15
13
23 32 33

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

130,703

5

3.8

Physician Need
5

Status Adequate 0

4

Surplus: 1

4

Surplus: 1

2

Surplus: 3

2

Surplus: 3

2

Surplus: 3

5

Adequate 0

3

Surplus: 2

2015 Projected
Population 140,825
Physician Need 6 4
5 2 2
2
5 3

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

Page 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

130,703

1

0.8

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 140,825
Physician Need 3 1 1 1 2 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

130,703

27

20.7

Physician Need
69

Status Deficit: -42

28

Deficit: -1

26

Surplus: 1

38

Deficit: -11

37

Deficit: -10

40

Deficit: -13

22

Surplus: 5

15

Surplus: 12

25

Surplus: 2

29

Deficit: -2

2015 Projected
Population 140,825
Physician Need 75 30 28 41 40 43
24
16 27 31

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

4

3.1

Physician Need
3

Status Surplus: 1

2

Surplus: 2

2

Surplus: 2

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

1

Surplus: 3

2015 Projected
Population 140,825
Physician Need 4 2 2 2 1 1 1
1 1

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

130,703

2

1.5

Physician Need
2

Status Adequate 0

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

2015 Projected
Population 140,825
Physician Need 3 2 1 2 2
1
1
1

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

3

2.3

Physician Need
7

Status Deficit: -4

3

Adequate 0

3

Adequate 0

4

Deficit: -1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2015 Projected
Population 140,825
Physician Need 7 3 3 5 2 2 2
3 2 3 3

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

130,703

19

14.5

Physician Need
18

Status Surplus: 1

16

Surplus: 3

15

Surplus: 4

13

Surplus: 6

15

Surplus: 4

15

Surplus: 4

13

Surplus: 6

12

Surplus: 7

11

Surplus: 8

10

Surplus: 9

13

Surplus: 6

13

Surplus: 6

2015 Projected
Population 140,825
Physician Need 20 17 16 14 16 16 14 12 12 11 14 14

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

7

5.4

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

5

Surplus: 2

2015 Projected
Population 140,825
Physician Need 8 8 8 6 3 4 7
5 5 7 6

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

130,703

6

4.6

Physician Need
11

Status Deficit: -5

9

Deficit: -3

8

Deficit: -2

8

Deficit: -2

8

Deficit: -2

5

Surplus: 1

9

Deficit: -3

4

Surplus: 2

8

Deficit: -2

5

Surplus: 1

8

Deficit: -2

7

Deficit: -1

2015 Projected
Population 140,825
Physician Need 12 10 9 8 8 6 9 4 8 6 9 8

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

5

3.8

Physician Need
4

Status Surplus: 1

4

Surplus: 1

4

Surplus: 1

4

Surplus: 1

3

Surplus: 2

4

Surplus: 1

4

Surplus: 1

2015 Projected
Population 140,825
Physician Need 5 5
5 5 3 4
4

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

130,703

2

1.5

Physician Need
8

Status Deficit: -6

2

Adequate 0

2

Adequate 0

8

Deficit: -6

4

Deficit: -2

2

Adequate 0

5

Deficit: -3

4

Deficit: -2

2015 Projected
Population 140,825
Physician Need 9 3 3 9 5 3
6
5

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

19

14.5

Physician Need
33

Status Deficit: -14

22

Deficit: -3

20

Deficit: -1

16

Surplus: 3

16

Surplus: 3

21

Deficit: -2

13

Surplus: 6

10

Surplus: 9

18

Surplus: 1

17

Surplus: 2

2015 Projected
Population 140,825
Physician Need 35 23 22 17 17 23
14
11 20 18

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

130,703

2

1.5

Physician Need
3

Status Deficit: -1

1

Surplus: 1

0

Surplus: 2

1

Surplus: 1

1

Surplus: 1

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

2015 Projected
Population 140,825
Physician Need 3
2 0
1
2 3 3 2

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

11

8.4

Physician Need
18

Status Deficit: -7

10

Surplus: 1

9

Surplus: 2

20

Deficit: -9

7

Surplus: 4

5

Surplus: 6

9

Surplus: 2

5

Surplus: 6

7

Surplus: 4

9

Surplus: 2

2015 Projected
Population 140,825
Physician Need 19 11 10 22 7 6
10 5 8 10

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

130,703

3

2.3

Physician Need
5

Status Deficit: -2

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

2015 Projected
Population 140,825
Physician Need 5 3 3 2 2 1 2
2
2 2

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

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

130,703

8

6.1

Physician Need
15

Status Deficit: -7

18

Deficit: -10

18

Deficit: -10

10

Deficit: -2

11

Deficit: -3

6

Surplus: 2

10

Deficit: -2

10

Deficit: -2

12

Deficit: -4

2015 Projected
Population 140,825
Physician Need 16 19 19 11 12 7 11
11
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

130,703

10

7.7

Physician Need
16

Status Deficit: -6

12

Deficit: -2

12

Deficit: -2

13

Deficit: -3

9

Surplus: 1

8

Surplus: 2

8

Surplus: 2

5

Surplus: 5

13

Deficit: -3

5

Surplus: 5

8

Surplus: 2

9

Surplus: 1

2015 Projected
Population 140,825
Physician Need 18 13 12 14 10 9 8 6 14 6 8 10

Georgia Physician Workforce: PCSA Reports - 2008
2 PCSA Physician Standard Report
Included Counties: Murray, Whitfield

Page 13

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

130,703

4

3.1

Physician Need
5

Status Deficit: -1

5

Deficit: -1

4

Adequate 0

4

Adequate 0

4

Adequate 0

3

Surplus: 1

4

Adequate 0

3

Surplus: 1

2

Surplus: 2

4

Adequate 0

4

Adequate 0

2015 Projected
Population 140,825
Physician Need 5 5 5 4 5 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.