Georgia physician workforce: PCSA reports, 2008 15 PCSA physician standard report, included counties: Cherokee

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

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

183,123

2

1.1

Physician Need
3

Status Deficit: -1

3

Deficit: -1

3

Deficit: -1

1

Surplus: 1

3

Deficit: -1

2

Adequate 0

2

Adequate 0

2

Adequate 0

3

Deficit: -1

2

Adequate 0

2015 Projected
Population 214,144
Physician Need 3 3 3 2 4 3 2
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

183,123

4

2.2

Physician Need
26

Status Deficit: -22

18

Deficit: -14

17

Deficit: -13

16

Deficit: -12

11

Deficit: -7

7

Deficit: -3

16

Deficit: -12

13

Deficit: -9

14

Deficit: -10

2015 Projected
Population 214,144
Physician Need 30 21 19 19 13 8 19
15
16

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

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

183,123

5

2.7

Physician Need
14

Status Deficit: -9

10

Deficit: -5

9

Deficit: -4

6

Deficit: -1

5

Adequate 0

3

Surplus: 2

5

Adequate 0

7

Deficit: -2

5

Adequate 0

8

Deficit: -3

6

Deficit: -1

2015 Projected
Population 214,144
Physician Need 16 12 11 7 6 4 6
8 6 9 7

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

183,123

2

1.1

Physician Need
7

Status Deficit: -5

5

Deficit: -3

5

Deficit: -3

5

Deficit: -3

5

Deficit: -3

4

Deficit: -2

5

Deficit: -3

3

Deficit: -1

3

Deficit: -1

4

Deficit: -2

6

Deficit: -4

4

Deficit: -2

2015 Projected
Population 214,144
Physician Need 8 6 6 6 5 5 6 3 3 4 7 5

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

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

183,123

6

3.3

Physician Need
19

Status Deficit: -13

10

Deficit: -4

10

Deficit: -4

10

Deficit: -4

12

Deficit: -6

10

Deficit: -4

5

Surplus: 1

23

Deficit: -17

11

Deficit: -5

2015 Projected
Population 214,144
Physician Need 22 12 11 12 14 11
6
27 13

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

183,123

1

0.5

Physician Need
3

Status Deficit: -2

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 214,144
Physician Need 4 2 2 2 2 2
1
2

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

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

183,123

39

21.3

Physician Need
58

Status Deficit: -19

84

Deficit: -45

78

Deficit: -39

46

Deficit: -7

31

Surplus: 8

20

Surplus: 19

17

Surplus: 22

30

Surplus: 9

41

Deficit: -2

43

Deficit: -4

2015 Projected
Population 214,144
Physician Need 67 98 91 54 36 24
20
35 48 51

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

183,123

2

1.1

Physician Need
8

Status Deficit: -6

6

Deficit: -4

6

Deficit: -4

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

6

Deficit: -4

4

Deficit: -2

2015 Projected
Population 214,144
Physician Need 9 7
7 4 4
3
7 5

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

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

183,123

1

0.5

Physician Need
4

Status Deficit: -3

1

Adequate 0

1

Adequate 0

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

2015 Projected
Population 214,144
Physician Need 5 1 1 2 3 1 1
2

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

183,123

28

15.3

Physician Need
97

Status Deficit: -69

39

Deficit: -11

37

Deficit: -9

53

Deficit: -25

51

Deficit: -23

55

Deficit: -27

31

Deficit: -3

21

Surplus: 7

35

Deficit: -7

40

Deficit: -12

2015 Projected
Population 214,144
Physician Need 114 46 43 62 60 65
36
24 41 47

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

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

183,123

1

0.5

Physician Need
5

Status Deficit: -4

3

Deficit: -2

2

Deficit: -1

2

Deficit: -1

1

Adequate 0

1

Adequate 0

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

2015 Projected
Population 214,144
Physician Need 6 3 3 2 2 1 2
2 2

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

183,123

3

1.6

Physician Need
9

Status Deficit: -6

4

Deficit: -1

4

Deficit: -1

6

Deficit: -3

2

Surplus: 1

3

Adequate 0

2

Surplus: 1

4

Deficit: -1

3

Adequate 0

3

Adequate 0

3

Adequate 0

2015 Projected
Population 214,144
Physician Need 11 5 5 7 3 4 3
4 3 4 4

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

Page 7

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

183,123

11

6.0

Physician Need
26

Status Deficit: -15

22

Deficit: -11

21

Deficit: -10

18

Deficit: -7

21

Deficit: -10

21

Deficit: -10

18

Deficit: -7

16

Deficit: -5

15

Deficit: -4

15

Deficit: -4

19

Deficit: -8

19

Deficit: -8

2015 Projected
Population 214,144
Physician Need 30 26 24 21 25 25 21 19 18 17 22 22

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

183,123

5

2.7

Physician Need
11

Status Deficit: -6

11

Deficit: -6

10

Deficit: -5

8

Deficit: -3

4

Surplus: 1

6

Deficit: -1

9

Deficit: -4

6

Deficit: -1

6

Deficit: -1

9

Deficit: -4

8

Deficit: -3

2015 Projected
Population 214,144
Physician Need 13 13 12 10 5 7 11
7 7 10 9

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

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

183,123

8

4.4

Physician Need
15

Status Deficit: -7

12

Deficit: -4

12

Deficit: -4

11

Deficit: -3

11

Deficit: -3

8

Adequate 0

12

Deficit: -4

5

Surplus: 3

11

Deficit: -3

8

Adequate 0

11

Deficit: -3

10

Deficit: -2

2015 Projected
Population 214,144
Physician Need 18 15 14 13 13 9 14 6 13 9 13 12

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

183,123

4

2.2

Physician Need
6

Status Deficit: -2

6

Deficit: -2

6

Deficit: -2

6

Deficit: -2

4

Adequate 0

5

Deficit: -1

5

Deficit: -1

2015 Projected
Population 214,144
Physician Need 7 7
7 7 5 6
6

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

Page 9

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

183,123

22

12.0

Physician Need
46

Status Deficit: -24

30

Deficit: -8

28

Deficit: -6

23

Deficit: -1

22

Adequate 0

29

Deficit: -7

18

Surplus: 4

14

Surplus: 8

25

Deficit: -3

24

Deficit: -2

2015 Projected
Population 214,144
Physician Need 53 36 33 27 25 34
21
16 30 28

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

183,123

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 214,144
Physician Need 5
2 1
1
2 5 5 3

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

Page 10

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

183,123

7

3.8

Physician Need
25

Status Deficit: -18

14

Deficit: -7

13

Deficit: -6

28

Deficit: -21

10

Deficit: -3

8

Deficit: -1

13

Deficit: -6

7

Adequate 0

10

Deficit: -3

13

Deficit: -6

2015 Projected
Population 214,144
Physician Need 29 16 15 33 11 9
15 8 12 15

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

183,123

3

1.6

Physician Need
6

Status Deficit: -3

4

Deficit: -1

3

Adequate 0

3

Adequate 0

3

Adequate 0

2

Surplus: 1

3

Adequate 0

3

Adequate 0

2

Surplus: 1

3

Adequate 0

2015 Projected
Population 214,144
Physician Need 7 4 4 3 3 2 3
3
3 3

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

Page 11

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

183,123

5

2.7

Physician Need
21

Status Deficit: -16

25

Deficit: -20

25

Deficit: -20

14

Deficit: -9

16

Deficit: -11

9

Deficit: -4

14

Deficit: -9

15

Deficit: -10

17

Deficit: -12

2015 Projected
Population 214,144
Physician Need 24 29 29 16 18 10 16
17
19

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

183,123

4

2.2

Physician Need
23

Status Deficit: -19

17

Deficit: -13

16

Deficit: -12

18

Deficit: -14

13

Deficit: -9

11

Deficit: -7

11

Deficit: -7

8

Deficit: -4

18

Deficit: -14

8

Deficit: -4

11

Deficit: -7

13

Deficit: -9

2015 Projected
Population 214,144
Physician Need 27 20 19 21 15 13 13 9 21 9 13 15

Georgia Physician Workforce: PCSA Reports - 2008
15 PCSA Physician Standard Report
Included Counties: Cherokee

Page 12

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

183,123

1

0.5

Physician Need
6

Status Deficit: -5

6

Deficit: -5

6

Deficit: -5

6

Deficit: -5

6

Deficit: -5

4

Deficit: -3

5

Deficit: -4

5

Deficit: -4

3

Deficit: -2

5

Deficit: -4

5

Deficit: -4

2015 Projected
Population 214,144
Physician Need 7 7 7 7 7 5 6
6 4 6 6

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.