Georgia physician workforce: PCSA reports, 2008 19 PCSA physician standard report, included Counties: Carroll, Haralson

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

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 150,541
Physician Need 2 2 2 1 3 2 2
2
3 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

132,711

10

7.5

Physician Need
19

Status Deficit: -9

13

Deficit: -3

12

Deficit: -2

12

Deficit: -2

8

Surplus: 2

5

Surplus: 5

12

Deficit: -2

9

Surplus: 1

10

Adequate 0

2015 Projected
Population 150,541
Physician Need 21 15 14 13 9 6 14
11
11

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

5

3.8

Physician Need
10

Status Deficit: -5

7

Deficit: -2

7

Deficit: -2

4

Surplus: 1

4

Surplus: 1

2

Surplus: 3

4

Surplus: 1

5

Adequate 0

3

Surplus: 2

6

Deficit: -1

5

Adequate 0

2015 Projected
Population 150,541
Physician Need 11 8 8 5 5 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

132,711

3

2.3

Physician Need
5

Status Deficit: -2

4

Deficit: -1

3

Adequate 0

4

Deficit: -1

3

Adequate 0

3

Adequate 0

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

3

Adequate 0

4

Deficit: -1

3

Adequate 0

2015 Projected
Population 150,541
Physician Need 6 4 4 4 4 4 4 2 2 3 5 4

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

17

12.8

Physician Need
14

Status Surplus: 3

7

Surplus: 10

7

Surplus: 10

7

Surplus: 10

9

Surplus: 8

7

Surplus: 10

4

Surplus: 13

16

Surplus: 1

8

Surplus: 9

2015 Projected
Population 150,541
Physician Need 16 8 8 8 10 8
4
19 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

132,711

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 150,541
Physician Need 3 2 2 1 1 2
1
1

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

37

27.9

Physician Need
42

Status Deficit: -5

61

Deficit: -24

57

Deficit: -20

33

Surplus: 4

22

Surplus: 15

15

Surplus: 22

12

Surplus: 25

21

Surplus: 16

30

Surplus: 7

31

Surplus: 6

2015 Projected
Population 150,541
Physician Need 47 69 64 38 25 17
14
24 34 36

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

132,711

3

2.3

Physician Need
6

Status Deficit: -3

4

Deficit: -1

4

Deficit: -1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

5

Deficit: -2

3

Adequate 0

2015 Projected
Population 150,541
Physician Need 6 5
5 3 3
2
5 4

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

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 150,541
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

132,711

21

15.8

Physician Need
70

Status Deficit: -49

28

Deficit: -7

27

Deficit: -6

38

Deficit: -17

37

Deficit: -16

40

Deficit: -19

22

Deficit: -1

15

Surplus: 6

25

Deficit: -4

29

Deficit: -8

2015 Projected
Population 150,541
Physician Need 80 32 30 43 42 46
25
17 29 33

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

2

1.5

Physician Need
3

Status Deficit: -1

2

Adequate 0

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

2015 Projected
Population 150,541
Physician Need 4 2 2 2 1 1 1
1 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

132,711

5

3.8

Physician Need
7

Status Deficit: -2

3

Surplus: 2

3

Surplus: 2

4

Surplus: 1

2

Surplus: 3

2

Surplus: 3

2

Surplus: 3

3

Surplus: 2

2

Surplus: 3

2

Surplus: 3

3

Surplus: 2

2015 Projected
Population 150,541
Physician Need 8 4 3 5 2 3 2
3 2 3 3

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

10

7.5

Physician Need
19

Status Deficit: -9

16

Deficit: -6

15

Deficit: -5

13

Deficit: -3

15

Deficit: -5

15

Deficit: -5

13

Deficit: -3

12

Deficit: -2

11

Deficit: -1

11

Deficit: -1

13

Deficit: -3

14

Deficit: -4

2015 Projected
Population 150,541
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

132,711

4

3.0

Physician Need
8

Status Deficit: -4

8

Deficit: -4

7

Deficit: -3

6

Deficit: -2

3

Surplus: 1

4

Adequate 0

7

Deficit: -3

5

Deficit: -1

4

Adequate 0

6

Deficit: -2

6

Deficit: -2

2015 Projected
Population 150,541
Physician Need 9 9 8 7 4 5 8
5 5 7 6

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

6

4.5

Physician Need
11

Status Deficit: -5

9

Deficit: -3

8

Deficit: -2

8

Deficit: -2

8

Deficit: -2

6

Adequate 0

9

Deficit: -3

4

Surplus: 2

8

Deficit: -2

6

Adequate 0

8

Deficit: -2

7

Deficit: -1

2015 Projected
Population 150,541
Physician Need 12 10 10 9 9 6 10 5 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

132,711

7

5.3

Physician Need
5

Status Surplus: 2

4

Surplus: 3

4

Surplus: 3

5

Surplus: 2

3

Surplus: 4

4

Surplus: 3

4

Surplus: 3

2015 Projected
Population 150,541
Physician Need 5 5
5 5 4 5
5

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

3

2.3

Physician Need
8

Status Deficit: -5

3

Adequate 0

2

Surplus: 1

8

Deficit: -5

4

Deficit: -1

2

Surplus: 1

5

Deficit: -2

4

Deficit: -1

2015 Projected
Population 150,541
Physician Need 9 3 3 10 5 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

132,711

15

11.3

Physician Need
33

Status Deficit: -18

22

Deficit: -7

21

Deficit: -6

16

Deficit: -1

16

Deficit: -1

21

Deficit: -6

13

Surplus: 2

10

Surplus: 5

18

Deficit: -3

17

Deficit: -2

2015 Projected
Population 150,541
Physician Need 37 25 23 19 18 24
15
11 21 20

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

1

0.8

Physician Need
3

Status Deficit: -2

1

Adequate 0

0

Surplus: 1

1

Adequate 0

1

Adequate 0

3

Deficit: -2

3

Deficit: -2

2

Deficit: -1

2015 Projected
Population 150,541
Physician Need 4
2 0
1
2 3 3 2

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

132,711

6

4.5

Physician Need
18

Status Deficit: -12

10

Deficit: -4

10

Deficit: -4

20

Deficit: -14

7

Deficit: -1

5

Surplus: 1

10

Deficit: -4

5

Surplus: 1

8

Deficit: -2

9

Deficit: -3

2015 Projected
Population 150,541
Physician Need 20 12 11 23 8 6
11 6 9 11

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

2

1.5

Physician Need
5

Status Deficit: -3

3

Deficit: -1

3

Deficit: -1

2

Adequate 0

2

Adequate 0

1

Surplus: 1

2

Adequate 0

2

Adequate 0

2

Adequate 0

2

Adequate 0

2015 Projected
Population 150,541
Physician Need 5 3 3 2 2 2 2
2
2 2

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

132,711

12

9.0

Physician Need
15

Status Deficit: -3

18

Deficit: -6

18

Deficit: -6

10

Surplus: 2

11

Surplus: 1

6

Surplus: 6

10

Surplus: 2

11

Surplus: 1

12

Adequate 0

2015 Projected
Population 150,541
Physician Need 17 20 21 12 13 7 12
12
14

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

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

2

Deficit: -1

1

Adequate 0

2015 Projected
Population 150,541
Physician Need 2 2 2 1 1 1 1
1
2 1

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

132,711

10

7.5

Physician Need
17

Status Deficit: -7

12

Deficit: -2

12

Deficit: -2

13

Deficit: -3

9

Surplus: 1

8

Surplus: 2

8

Surplus: 2

6

Surplus: 4

13

Deficit: -3

5

Surplus: 5

8

Surplus: 2

9

Surplus: 1

2015 Projected
Population 150,541
Physician Need 19 14 13 15 11 9 9 6 15 6 9 11

Georgia Physician Workforce: PCSA Reports - 2008
19 PCSA Physician Standard Report
Included Counties: Carroll, Haralson

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

132,711

3

2.3

Physician Need
5

Status Deficit: -2

5

Deficit: -2

4

Deficit: -1

4

Deficit: -1

4

Deficit: -1

3

Adequate 0

4

Deficit: -1

3

Adequate 0

3

Adequate 0

4

Deficit: -1

4

Deficit: -1

2015 Projected
Population 150,541
Physician Need 5 5 5 5 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.