Georgia physician workforce: county reports, 2008 Catoosa County physician standard report

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

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

62,457

3

4.8

Physician Need
1

Status Surplus: 2

1

Surplus: 2

1

Surplus: 2

0

Surplus: 3

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

2015 Projected
Population 74,174
Physician Need 1 1 1 1 1 1 1
1
1 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

62,457

15

24.0

Physician Need
9

Status Surplus: 6

6

Surplus: 9

6

Surplus: 9

6

Surplus: 9

4

Surplus: 11

2

Surplus: 13

6

Surplus: 9

4

Surplus: 11

5

Surplus: 10

2015 Projected
Population 74,174
Physician Need 10 7 7 7 3 3 7
5
6

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

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

62,457

3

4.8

Physician Need
5

Status Deficit: -2

3

Adequate 0

3

Adequate 0

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

3

Adequate 0

2

Surplus: 1

2015 Projected
Population 74,174
Physician Need 6 4 4 2 1 1 2
3 2 3 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

62,457

4

6.4

Physician Need
7

Status Deficit: -3

3

Surplus: 1

3

Surplus: 1

3

Surplus: 1

4

Adequate 0

3

Surplus: 1

2

Surplus: 2

8

Deficit: -4

4

Adequate 0

2015 Projected
Population 74,174
Physician Need 8 4 4 4 4 4
2
9 5

23 Georgia Physician Workforce: County Reports - 2008
Catoosa 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

62,457

24

38.4

Physician Need
20

Status Surplus: 4

28

Deficit: -4

27

Deficit: -3

16

Surplus: 8

10

Surplus: 14

7

Surplus: 17

6

Surplus: 18

10

Surplus: 14

14

Surplus: 10

15

Surplus: 9

2015 Projected
Population 74,174
Physician Need 23 34 32 19 8 8
7
12 17 18

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

62,457

3

4.8

Physician Need
3

Status Adequate 0

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

2

Surplus: 1

1

Surplus: 2

2015 Projected
Population 74,174
Physician Need 3 2
2 1 1
1
3 2

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

Page 4

Physician Specialty Hematology/Oncology
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 2.5 2.4 3.6 2.3 1.8 1.6 2.6 1.2
1.1 2.1

2008 Actual
Population Physicians /100k

62,457

1

1.6

Physician Need
2

Status Deficit: -1

2

Deficit: -1

1

Adequate 0

2

Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

2

Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

2015 Projected
Population 74,174
Physician Need 3 2 2 3 1 1 1 2 1
1 2

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

62,457

1

1.6

Physician Need
1

Status Adequate 0

0

Surplus: 1

0

Surplus: 1

1

Adequate 0

1

Adequate 0

0

Surplus: 1

0

Surplus: 1

0

Surplus: 1

2015 Projected
Population 74,174
Physician Need 2 1 0 1 1 1 0
1

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

Page 5

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

62,457

10

16.0

Physician Need
33

Status Deficit: -23

13

Deficit: -3

12

Deficit: -2

18

Deficit: -8

18

Deficit: -8

19

Deficit: -9

10

Adequate 0

7

Surplus: 3

12

Deficit: -2

14

Deficit: -4

2015 Projected
Population 74,174
Physician Need 39 16 15 21 22 22
12
8 14 16

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

62,457

1

1.6

Physician Need
2

Status Deficit: -1

1

Adequate 0

1

Adequate 0

1

Adequate 0

0

Surplus: 1

0

Surplus: 1

1

Adequate 0

0

Surplus: 1

1

Adequate 0

2015 Projected
Population 74,174
Physician Need 2 1 1 1 1 1 1
1 1

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

Page 6

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

62,457

2

3.2

Physician Need
3

Status Deficit: -1

1

Surplus: 1

1

Surplus: 1

2

Adequate 0

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

1

Surplus: 1

2015 Projected
Population 74,174
Physician Need 4 2 2 2 1 1 1
2 1 1 1

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

62,457

9

14.4

Physician Need
9

Status Adequate 0

8

Surplus: 1

7

Surplus: 2

6

Surplus: 3

7

Surplus: 2

7

Surplus: 2

6

Surplus: 3

5

Surplus: 4

5

Surplus: 4

5

Surplus: 4

6

Surplus: 3

6

Surplus: 3

2015 Projected
Population 74,174
Physician Need 10 9 8 7 9 9 7 7 6 6 8 8

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

Page 7

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

62,457

4

6.4

Physician Need
4

Status Adequate 0

4

Adequate 0

3

Surplus: 1

3

Surplus: 1

1

Surplus: 3

2

Surplus: 2

3

Surplus: 1

2

Surplus: 2

2

Surplus: 2

3

Surplus: 1

3

Surplus: 1

2015 Projected
Population 74,174
Physician Need 4 4 4 3 2 2 4
3 2 3 3

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

62,457

5

8.0

Physician Need
5

Status Adequate 0

4

Surplus: 1

4

Surplus: 1

4

Surplus: 1

4

Surplus: 1

3

Surplus: 2

4

Surplus: 1

2

Surplus: 3

4

Surplus: 1

3

Surplus: 2

4

Surplus: 1

3

Surplus: 2

2015 Projected
Population 74,174
Physician Need 6 5 5 4 3 3 5 2 4 3 5 4

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

Page 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

62,457

3

4.8

Physician Need
2

Status Surplus: 1

2

Surplus: 1

2

Surplus: 1

2

Surplus: 1

1

Surplus: 2

2

Surplus: 1

2

Surplus: 1

2015 Projected
Population 74,174
Physician Need 3 2
2 2 2 2
2

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

62,457

6

9.6

Physician Need
4

Status Surplus: 2

1

Surplus: 5

1

Surplus: 5

4

Surplus: 2

2

Surplus: 4

1

Surplus: 5

3

Surplus: 3

2

Surplus: 4

2015 Projected
Population 74,174
Physician Need 5 1 1 5 1 1
3
2

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

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

62,457

9

14.4

Physician Need
16

Status Deficit: -7

10

Deficit: -1

10

Deficit: -1

8

Surplus: 1

7

Surplus: 2

10

Deficit: -1

6

Surplus: 3

5

Surplus: 4

9

Adequate 0

8

Surplus: 1

2015 Projected
Population 74,174
Physician Need 18 12 11 9 12 12
7
6 10 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

62,457

3

4.8

Physician Need
1

Status Surplus: 2

1

Surplus: 2

0

Surplus: 3

0

Surplus: 3

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

2015 Projected
Population 74,174
Physician Need 2
1
0
1 2 2 1

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

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

62,457

7

11.2

Physician Need
8

Status Deficit: -1

5

Surplus: 2

4

Surplus: 3

10

Deficit: -3

3

Surplus: 4

3

Surplus: 4

4

Surplus: 3

2

Surplus: 5

4

Surplus: 3

4

Surplus: 3

2015 Projected
Population 74,174
Physician Need 10 6 5 11 3 3
5 3 4 5

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

62,457

3

4.8

Physician Need
2

Status Surplus: 1

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

2015 Projected
Population 74,174
Physician Need 3 1 1 1 1 1 1
1
1 1

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

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

62,457

9

14.4

Physician Need
7

Status Surplus: 2

8

Surplus: 1

9

Adequate 0

5

Surplus: 4

5

Surplus: 4

3

Surplus: 6

5

Surplus: 4

5

Surplus: 4

6

Surplus: 3

2015 Projected
Population 74,174
Physician Need 8 10 10 6 3 3 6
6
7

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

62,457

8

12.8

Physician Need
8

Status Adequate 0

6

Surplus: 2

5

Surplus: 3

6

Surplus: 2

4

Surplus: 4

4

Surplus: 4

4

Surplus: 4

3

Surplus: 5

6

Surplus: 2

3

Surplus: 5

4

Surplus: 4

4

Surplus: 4

2015 Projected
Population 74,174
Physician Need 9 7 7 7 5 5 4 3 7 3 4 5

23 Georgia Physician Workforce: County Reports - 2008
Catoosa County Physician Standard Report

Page 12

Physician Specialty Thoracic 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.
1.5
0.8 0.1
0.5

2008 Actual
Population Physicians /100k

62,457

2

3.2

Physician Need
1

Status Surplus: 1

0

Surplus: 2

0

Surplus: 2

0

Surplus: 2

2015 Projected
Population 74,174
Physician Need 1
1
0

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

62,457

4

6.4

Physician Need
2

Status Surplus: 2

2

Surplus: 2

2

Surplus: 2

2

Surplus: 2

2

Surplus: 2

1

Surplus: 3

2

Surplus: 2

2

Surplus: 2

1

Surplus: 3

2

Surplus: 2

2

Surplus: 2

2015 Projected
Population 74,174
Physician Need 3 3 2 2 2 2 2
2 1 2 2

23 Georgia Physician Workforce: County Reports - 2008 Page 13
Catoosa 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.