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.