28 Georgia Physician Workforce: County Reports - 2008 Cherokee 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 203,890 2 1.0 Physician Need 3 Status Deficit: -1 3 Deficit: -1 3 Deficit: -1 2 Adequate 0 3 Deficit: -1 2 Adequate 0 2 Adequate 0 3 Deficit: -1 4 Deficit: -2 3 Deficit: -1 2015 Projected Population 264,285 Physician Need 4 4 4 2 3 3 3 3 5 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 203,890 4 2.0 Physician Need 29 Status Deficit: -25 20 Deficit: -16 19 Deficit: -15 18 Deficit: -14 12 Deficit: -8 8 Deficit: -4 18 Deficit: -14 14 Deficit: -10 15 Deficit: -11 2015 Projected Population 264,285 Physician Need 37 26 24 24 10 10 24 18 20 28 Georgia Physician Workforce: County Reports - 2008 Cherokee 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 203,890 5 2.5 Physician Need 15 Status Deficit: -10 11 Deficit: -6 10 Deficit: -5 6 Deficit: -1 6 Deficit: -1 4 Surplus: 1 6 Deficit: -1 7 Deficit: -2 5 Adequate 0 9 Deficit: -4 7 Deficit: -2 2015 Projected Population 264,285 Physician Need 20 14 13 8 5 5 8 10 7 11 9 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 203,890 2 1.0 Physician Need 8 Status Deficit: -6 6 Deficit: -4 5 Deficit: -3 6 Deficit: -4 5 Deficit: -3 5 Deficit: -3 5 Deficit: -3 3 Deficit: -1 3 Deficit: -1 4 Deficit: -2 6 Deficit: -4 5 Deficit: -3 2015 Projected Population 264,285 Physician Need 10 7 7 7 6 6 7 4 4 6 8 6 28 Georgia Physician Workforce: County Reports - 2008 Cherokee County Physician Standard Report 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 203,890 6 2.9 Physician Need 21 Status Deficit: -15 11 Deficit: -5 11 Deficit: -5 11 Deficit: -5 14 Deficit: -8 11 Deficit: -5 6 Adequate 0 25 Deficit: -19 13 Deficit: -7 2015 Projected Population 264,285 Physician Need 28 15 14 14 14 14 7 33 16 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 203,890 1 0.5 Physician Need 4 Status Deficit: -3 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 2 Deficit: -1 2015 Projected Population 264,285 Physician Need 5 3 3 2 3 3 2 2 28 Georgia Physician Workforce: County Reports - 2008 Cherokee County Physician Standard Report 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 203,890 39 19.1 Physician Need 64 Status Deficit: -25 93 Deficit: -54 87 Deficit: -48 51 Deficit: -12 34 Surplus: 5 22 Surplus: 17 19 Surplus: 20 33 Surplus: 6 46 Deficit: -7 48 Deficit: -9 2015 Projected Population 264,285 Physician Need 83 121 113 67 29 29 24 43 60 62 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 203,890 2 1.0 Physician Need 9 Status Deficit: -7 6 Deficit: -4 7 Deficit: -5 3 Deficit: -1 3 Deficit: -1 3 Deficit: -1 7 Deficit: -5 5 Deficit: -3 2015 Projected Population 264,285 Physician Need 11 8 8 4 4 3 9 6 28 Georgia Physician Workforce: County Reports - 2008 Cherokee County Physician Standard Report 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 203,890 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 2 Deficit: -1 2015 Projected Population 264,285 Physician Need 6 2 2 2 2 2 2 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 203,890 28 13.7 Physician Need 108 Status Deficit: -80 44 Deficit: -16 41 Deficit: -13 59 Deficit: -31 57 Deficit: -29 62 Deficit: -34 34 Deficit: -6 23 Surplus: 5 39 Deficit: -11 45 Deficit: -17 2015 Projected Population 264,285 Physician Need 140 57 53 76 80 80 44 30 50 58 28 Georgia Physician Workforce: County Reports - 2008 Cherokee County Physician Standard Report 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 203,890 1 0.5 Physician Need 5 Status Deficit: -4 3 Deficit: -2 3 Deficit: -2 2 Deficit: -1 2 Deficit: -1 1 Adequate 0 2 Deficit: -1 1 Adequate 0 2 Deficit: -1 2015 Projected Population 264,285 Physician Need 7 4 3 3 2 2 2 2 3 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 203,890 3 1.5 Physician Need 10 Status Deficit: -7 5 Deficit: -2 5 Deficit: -2 7 Deficit: -4 3 Adequate 0 3 Adequate 0 2 Surplus: 1 4 Deficit: -1 3 Adequate 0 4 Deficit: -1 4 Deficit: -1 2015 Projected Population 264,285 Physician Need 13 6 6 9 4 4 3 6 4 5 5 28 Georgia Physician Workforce: County Reports - 2008 Cherokee County Physician Standard Report 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 203,890 11 5.4 Physician Need 29 Status Deficit: -18 25 Deficit: -14 23 Deficit: -12 20 Deficit: -9 24 Deficit: -13 23 Deficit: -12 20 Deficit: -9 18 Deficit: -7 17 Deficit: -6 16 Deficit: -5 21 Deficit: -10 21 Deficit: -10 2015 Projected Population 264,285 Physician Need 37 32 30 26 30 30 26 23 22 21 27 27 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 203,890 5 2.5 Physician Need 12 Status Deficit: -7 12 Deficit: -7 11 Deficit: -6 9 Deficit: -4 5 Adequate 0 6 Deficit: -1 10 Deficit: -5 7 Deficit: -2 7 Deficit: -2 10 Deficit: -5 9 Deficit: -4 2015 Projected Population 264,285 Physician Need 16 16 15 12 8 8 13 9 8 12 11 28 Georgia Physician Workforce: County Reports - 2008 Cherokee County Physician Standard Report 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 203,890 8 3.9 Physician Need 17 Status Deficit: -9 14 Deficit: -6 13 Deficit: -5 12 Deficit: -4 12 Deficit: -4 9 Deficit: -1 14 Deficit: -6 6 Surplus: 2 12 Deficit: -4 9 Deficit: -1 12 Deficit: -4 11 Deficit: -3 2015 Projected Population 264,285 Physician Need 22 18 17 16 11 11 18 8 16 11 16 15 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 203,890 4 2.0 Physician Need 7 Status Deficit: -3 7 Deficit: -3 7 Deficit: -3 7 Deficit: -3 5 Deficit: -1 6 Deficit: -2 6 Deficit: -2 2015 Projected Population 264,285 Physician Need 9 8 8 6 6 8 8 28 Georgia Physician Workforce: County Reports - 2008 Cherokee 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 203,890 22 10.8 Physician Need 51 Status Deficit: -29 34 Deficit: -12 32 Deficit: -10 25 Deficit: -3 24 Deficit: -2 33 Deficit: -11 20 Surplus: 2 15 Surplus: 7 28 Deficit: -6 27 Deficit: -5 2015 Projected Population 264,285 Physician Need 66 44 41 33 42 42 26 20 37 34 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 203,890 2 1.0 Physician Need 5 Status Deficit: -3 2 Adequate 0 1 Surplus: 1 1 Surplus: 1 2 Adequate 0 5 Deficit: -3 5 Deficit: -3 2 Adequate 0 2015 Projected Population 264,285 Physician Need 6 3 1 3 6 6 3 28 Georgia Physician Workforce: County Reports - 2008 Cherokee 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 203,890 7 3.4 Physician Need 28 Status Deficit: -21 16 Deficit: -9 15 Deficit: -8 31 Deficit: -24 11 Deficit: -4 8 Deficit: -1 15 Deficit: -8 8 Deficit: -1 12 Deficit: -5 14 Deficit: -7 2015 Projected Population 264,285 Physician Need 36 20 19 41 11 11 19 10 15 19 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 203,890 3 1.5 Physician Need 7 Status Deficit: -4 4 Deficit: -1 4 Deficit: -1 3 Adequate 0 3 Adequate 0 2 Surplus: 1 3 Adequate 0 3 Adequate 0 3 Adequate 0 3 Adequate 0 2015 Projected Population 264,285 Physician Need 9 5 5 4 3 3 4 4 3 4 28 Georgia Physician Workforce: County Reports - 2008 Cherokee 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 203,890 5 2.5 Physician Need 23 Status Deficit: -18 28 Deficit: -23 28 Deficit: -23 16 Deficit: -11 17 Deficit: -12 10 Deficit: -5 16 Deficit: -11 16 Deficit: -11 19 Deficit: -14 2015 Projected Population 264,285 Physician Need 30 36 36 20 12 12 20 21 24 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 203,890 4 2.0 Physician Need 25 Status Deficit: -21 19 Deficit: -15 18 Deficit: -14 20 Deficit: -16 14 Deficit: -10 13 Deficit: -9 12 Deficit: -8 9 Deficit: -5 20 Deficit: -16 8 Deficit: -4 12 Deficit: -8 14 Deficit: -10 2015 Projected Population 264,285 Physician Need 33 25 23 26 16 16 16 11 26 11 16 19 28 Georgia Physician Workforce: County Reports - 2008 Cherokee County Physician Standard Report 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 203,890 1 0.5 Physician Need 7 Status Deficit: -6 7 Deficit: -6 7 Deficit: -6 6 Deficit: -5 7 Deficit: -6 5 Deficit: -4 6 Deficit: -5 5 Deficit: -4 4 Deficit: -3 6 Deficit: -5 6 Deficit: -5 2015 Projected Population 264,285 Physician Need 9 9 9 8 6 6 8 7 5 8 8 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.