115 Georgia Physician Workforce: County Reports - 2008 Polk County Physician Standard Report Page 1 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 41,447 3 7.2 Physician Need 4 Status Deficit: -1 2 Surplus: 1 2 Surplus: 1 2 Surplus: 1 3 Adequate 0 2 Surplus: 1 1 Surplus: 2 5 Deficit: -2 3 Adequate 0 2015 Projected Population 46,462 Physician Need 5 3 2 3 2 2 1 6 3 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 41,447 1 2.4 Physician Need 1 Status Adequate 0 0 Surplus: 1 0 Surplus: 1 0 Surplus: 1 0 Surplus: 1 0 Surplus: 1 0 Surplus: 1 0 Surplus: 1 2015 Projected Population 46,462 Physician Need 1 1 0 0 1 1 0 0 115 Georgia Physician Workforce: County Reports - 2008 Polk County Physician Standard Report Page 2 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 41,447 19 45.8 Physician Need 13 Status Surplus: 6 19 Adequate 0 18 Surplus: 1 10 Surplus: 9 7 Surplus: 12 5 Surplus: 14 4 Surplus: 15 7 Surplus: 12 9 Surplus: 10 10 Surplus: 9 2015 Projected Population 46,462 Physician Need 15 21 20 12 5 5 4 8 10 11 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 41,447 2 4.8 Physician Need 22 Status Deficit: -20 9 Deficit: -7 8 Deficit: -6 12 Deficit: -10 12 Deficit: -10 13 Deficit: -11 7 Deficit: -5 5 Deficit: -3 8 Deficit: -6 9 Deficit: -7 2015 Projected Population 46,462 Physician Need 25 10 9 13 14 14 8 5 9 10 115 Georgia Physician Workforce: County Reports - 2008 Polk County Physician Standard Report Page 3 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 41,447 1 2.4 Physician Need 10 Status Deficit: -9 7 Deficit: -6 6 Deficit: -5 5 Deficit: -4 5 Deficit: -4 7 Deficit: -6 4 Deficit: -3 3 Deficit: -2 6 Deficit: -5 5 Deficit: -4 2015 Projected Population 46,462 Physician Need 12 8 7 6 7 7 5 4 6 6 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 41,447 1 2.4 Physician Need 6 Status Deficit: -5 3 Deficit: -2 3 Deficit: -2 6 Deficit: -5 2 Deficit: -1 2 Deficit: -1 3 Deficit: -2 2 Deficit: -1 2 Deficit: -1 3 Deficit: -2 2015 Projected Population 46,462 Physician Need 6 4 3 7 2 2 3 2 3 3 115 Georgia Physician Workforce: County Reports - 2008 Polk County Physician Standard Report Page 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 41,447 2 4.8 Physician Need 5 Status Deficit: -3 6 Deficit: -4 6 Deficit: -4 3 Deficit: -1 4 Deficit: -2 2 Adequate 0 3 Deficit: -1 3 Deficit: -1 4 Deficit: -2 2015 Projected Population 46,462 Physician Need 5 6 6 4 2 2 4 4 4 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 41,447 1 2.4 Physician Need 5 Status Deficit: -4 4 Deficit: -3 4 Deficit: -3 4 Deficit: -3 3 Deficit: -2 3 Deficit: -2 2 Deficit: -1 2 Deficit: -1 4 Deficit: -3 2 Deficit: -1 2 Deficit: -1 3 Deficit: -2 2015 Projected Population 46,462 Physician Need 6 4 4 5 3 3 3 2 5 2 3 3 115 Georgia Physician Workforce: County Reports - 2008 Page 5 Polk 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.