Georgia Physician Workforce: AHEC Reports - 2008 Page 1 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 20 21 20 11 24 17 16 2008 Actual Physicians 14 Status Deficit: Deficit: Deficit: Surplus: Deficit: Deficit: Deficit: /100k 1.0 -6 -7 -6 3 -10 -3 -2 1.3 18 Deficit: -4 1.7 24 1.3 18 Deficit: -10 Deficit: -4 2015 Projected Population 1,550,761 Physician Need 22 23 22 12 26 19 17 20 27 20 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 Population 1,409,985 Physician Need 197 137 128 125 83 55 127 2008 Actual Physicians 102 Status Deficit: Deficit: Deficit: Deficit: Surplus: Surplus: Deficit: /100k 7.2 -95 -35 -26 -23 19 47 -25 7.0 99 Surplus: 3 7.6 107 Deficit: -5 2015 Projected Population 1,550,761 Physician Need 217 150 141 138 91 60 140 109 118 Georgia Physician Workforce: AHEC Reports - 2008 Page 2 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 106 76 70 44 42 25 41 2008 Actual Physicians 74 Status Deficit: Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 5.2 -32 -2 4 30 32 49 33 3.6 51 2.6 37 4.2 60 3.5 49 Surplus: 23 Surplus: 37 Surplus: 14 Surplus: 25 2015 Projected Population 1,550,761 Physician Need 116 84 78 48 47 28 45 56 40 65 54 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 Population 1,409,985 Physician Need 52 39 37 39 35 34 37 23 20 30 44 34 2008 Actual Physicians 39 Status Deficit: Adequate Surplus: Adequate Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Deficit: Surplus: /100k 2.8 -13 0 2 0 4 5 2 16 19 9 -5 5 2015 Projected Population 1,550,761 Physician Need 57 43 40 43 39 37 40 25 22 33 49 37 Georgia Physician Workforce: AHEC Reports - 2008 Page 3 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 148 78 73 76 94 75 2008 Actual Physicians 123 Status Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 8.7 -25 45 50 47 29 48 2.7 38 12.4 175 6.2 87 Surplus: 85 Deficit: -52 Surplus: 36 2015 Projected Population 1,550,761 Physician Need 163 85 81 84 104 82 42 192 96 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 Population 1,409,985 Physician Need 25 16 14 11 13 16 2008 Actual Physicians 12 Status Deficit: Deficit: Deficit: Surplus: Deficit: Deficit: /100k 0.9 -13 -4 -2 1 -1 -4 8 Surplus: 4 13 Deficit: -1 2015 Projected Population 1,550,761 Physician Need 28 17 16 12 14 17 9 14 Georgia Physician Workforce: AHEC Reports - 2008 Page 4 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 444 643 601 355 235 155 2008 Actual Physicians 433 /100k 30.7 Status Deficit: -11 Deficit: -210 Deficit: -168 Surplus: 78 Surplus: 198 Surplus: 278 9.2 130 Surplus: 303 16.2 228 22.5 318 23.6 333 Surplus: 205 Surplus: 115 Surplus: 100 2015 Projected Population 1,550,761 Physician Need 488 707 661 391 259 171 143 251 349 366 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 Population 1,409,985 Physician Need 59 44 2008 Actual Physicians 52 Status Deficit: Surplus: /100k 3.7 -7 8 3.2 45 1.7 24 1.7 24 Surplus: 7 Surplus: 28 Surplus: 28 1.3 18 3.5 49 2.4 34 Surplus: 34 Surplus: 3 Surplus: 18 2015 Projected Population 1,550,761 Physician Need 65 48 50 26 26 20 54 37 Georgia Physician Workforce: AHEC Reports - 2008 Page 5 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 49 35 34 51 32 25 23 37 17 2008 Actual Physicians 3 Status Deficit: Deficit: Deficit: Deficit: Deficit: Deficit: Deficit: Deficit: Deficit: /100k 0.2 -46 -32 -31 -48 -29 -22 -20 -34 -14 1.1 15 2.1 30 Deficit: -12 Deficit: -27 2015 Projected Population 1,550,761 Physician Need 54 39 37 56 36 28 25 40 19 17 33 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 Population 1,409,985 Physician Need 31 10 8 13 17 10 8 2008 Actual Physicians 10 Status Deficit: Adequate Surplus: Deficit: Deficit: Adequate Surplus: /100k 0.7 -21 0 2 -3 -7 0 2 0.8 11 Deficit: -1 2015 Projected Population 1,550,761 Physician Need 34 11 9 14 19 11 9 12 Georgia Physician Workforce: AHEC Reports - 2008 Page 6 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 749 302 282 406 396 427 2008 Actual Physicians 325 /100k 23.0 Status Deficit: -424 Surplus: 23 Surplus: 43 Deficit: -81 Deficit: -71 Deficit: -102 16.7 235 Surplus: 90 11.3 159 19.0 268 22.0 310 Surplus: 166 Surplus: 57 Surplus: 15 2015 Projected Population 1,550,761 Physician Need 823 332 310 447 436 470 259 175 295 341 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 Population 1,409,985 Physician Need 37 20 18 16 11 10 13 2008 Actual Physicians 36 Status Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 2.6 -1 16 18 20 25 26 23 0.7 10 1.0 14 Surplus: 26 Surplus: 22 2015 Projected Population 1,550,761 Physician Need 40 22 20 17 12 11 14 11 16 Georgia Physician Workforce: AHEC Reports - 2008 Page 7 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson Physician Specialty Neurological 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. 1.9 1.1 1.0 1.1 1.4 Population 1,409,985 Physician Need 27 16 14 16 20 2008 Actual Physicians 15 Status Deficit: Deficit: Surplus: Deficit: Deficit: /100k 1.1 -12 -1 1 -1 -5 0.4 6 Surplus: 9 0.7 10 Surplus: 5 1.0 14 Surplus: 1 2015 Projected Population 1,550,761 Physician Need 29 17 16 17 22 6 11 16 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 Population 1,409,985 Physician Need 70 34 32 47 18 24 17 2008 Actual Physicians 41 Status Deficit: Surplus: Surplus: Deficit: Surplus: Surplus: Surplus: /100k 2.9 -29 7 9 -6 23 17 24 2.1 30 1.4 20 1.8 25 1.9 27 Surplus: 11 Surplus: 21 Surplus: 16 Surplus: 14 2015 Projected Population 1,550,761 Physician Need 78 37 36 51 20 26 19 33 22 28 29 Georgia Physician Workforce: AHEC Reports - 2008 Page 8 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 199 171 159 140 164 162 141 124 118 113 143 144 2008 Actual Physicians 150 Status Deficit: Deficit: Deficit: Surplus: Deficit: Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 10.6 -49 -21 -9 10 -14 -12 9 26 32 37 7 6 2015 Projected Population 1,550,761 Physician Need 219 188 175 154 180 178 155 136 130 124 158 158 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 Population 1,409,985 Physician Need 85 83 78 65 34 44 70 2008 Actual Physicians 60 Status Deficit: Deficit: Deficit: Deficit: Surplus: Surplus: Deficit: /100k 4.3 -25 -23 -18 -5 26 16 -10 3.5 49 3.2 45 4.7 66 4.2 59 Surplus: 11 Surplus: 15 Deficit: -6 Surplus: 1 2015 Projected Population 1,550,761 Physician Need 93 91 85 71 37 48 78 54 50 73 65 Georgia Physician Workforce: AHEC Reports - 2008 Page 9 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 117 96 90 85 83 59 94 42 83 59 86 78 2008 Actual Physicians 106 Status Deficit: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: Surplus: /100k 7.5 -11 10 16 21 23 47 12 64 23 47 20 28 2015 Projected Population 1,550,761 Physician Need 129 105 99 93 91 65 104 47 91 65 95 85 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 Population 1,409,985 Physician Need 48 45 2008 Actual Physicians 40 Status Deficit: Deficit: 3.2 45 3.4 48 2.4 34 3.0 42 Deficit: Deficit: Surplus: Deficit: 3.0 42 Deficit: /100k 2.8 -8 -5 -5 -8 6 -2 -2 2015 Projected Population 1,550,761 Physician Need 53 50 50 53 37 47 47 Georgia Physician Workforce: AHEC Reports - 2008 Page 10 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 89 27 25 90 47 25 2008 Actual Physicians 41 Status Deficit: Surplus: Surplus: Deficit: Deficit: Surplus: /100k 2.9 -48 14 16 -49 -6 16 4.1 58 Deficit: -17 3.2 45 Deficit: -4 2015 Projected Population 1,550,761 Physician Need 98 29 28 99 51 28 64 50 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 Population 1,409,985 Physician Need 351 234 219 175 168 226 2008 Actual Physicians 184 /100k 13.0 Status Deficit: -167 Deficit: -50 Deficit: -35 Surplus: 9 Surplus: 16 Deficit: -42 9.8 138 Surplus: 46 7.6 107 13.9 196 13.0 183 Surplus: 77 Deficit: -12 Surplus: 1 2015 Projected Population 1,550,761 Physician Need 386 257 240 192 185 248 152 118 216 202 Georgia Physician Workforce: AHEC Reports - 2008 Page 11 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 34 2008 Actual Physicians 25 Status Deficit: /100k 1.8 -9 1.1 16 0.3 4 0.4 6 1.1 16 2.3 32 2.2 31 1.2 17 Surplus: 9 Surplus: 21 Surplus: 19 Surplus: 9 Deficit: -7 Deficit: -6 Surplus: 8 2015 Projected Population 1,550,761 Physician Need 37 17 5 6 17 36 34 19 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 Population 1,409,985 Physician Need 192 109 102 217 73 58 2008 Actual Physicians 112 /100k 7.9 Status Deficit: -80 Surplus: 3 Surplus: 10 Deficit: -105 Surplus: 39 Surplus: 54 7.2 102 3.9 55 5.7 81 7.1 100 Surplus: 10 Surplus: 57 Surplus: 31 Surplus: 12 2015 Projected Population 1,550,761 Physician Need 211 119 112 239 81 64 112 60 89 110 Georgia Physician Workforce: AHEC Reports - 2008 Page 12 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 49 28 27 20 20 14 20 2008 Actual Physicians 26 Status Deficit: Deficit: Deficit: Surplus: Surplus: Surplus: Surplus: /100k 1.8 -23 -2 -1 6 6 12 6 1.4 20 Surplus: 6 1.3 18 1.5 21 Surplus: 8 Surplus: 5 2015 Projected Population 1,550,761 Physician Need 54 31 29 22 22 16 22 22 20 23 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 Population 1,409,985 Physician Need 161 192 193 109 120 66 109 2008 Actual Physicians 118 Status Deficit: Deficit: Deficit: Surplus: Deficit: Surplus: Surplus: /100k 8.4 -43 -74 -75 9 -2 52 9 8.0 113 Surplus: 5 9.1 128 Deficit: -10 2015 Projected Population 1,550,761 Physician Need 177 211 212 119 132 73 119 124 141 Georgia Physician Workforce: AHEC Reports - 2008 Page 13 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 21 16 14 10 6 10 10 2008 Actual Physicians 9 Status Deficit: Deficit: Deficit: Deficit: Surplus: Deficit: Deficit: /100k 0.6 -12 -7 -5 -1 3 -1 -1 0.4 6 Surplus: 3 1.3 19 0.8 11 Deficit: -10 Deficit: -2 2015 Projected Population 1,550,761 Physician Need 23 17 16 11 6 11 11 6 21 12 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 Population 1,409,985 Physician Need 176 133 124 137 99 87 83 59 137 58 85 100 2008 Actual Physicians 113 Status Deficit: Deficit: Deficit: Deficit: Surplus: Surplus: Surplus: Surplus: Deficit: Surplus: Surplus: Surplus: /100k 8.0 -63 -20 -11 -24 14 26 30 54 -24 55 28 13 2015 Projected Population 1,550,761 Physician Need 194 146 136 150 109 96 91 65 150 64 93 110 Georgia Physician Workforce: AHEC Reports - 2008 Page 14 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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 Population 1,409,985 Physician Need 21 2008 Actual Physicians 8 Status Deficit: /100k 0.6 -13 0.8 11 0.1 1 Deficit: -3 Surplus: 7 0.5 7 Surplus: 1 2015 Projected Population 1,550,761 Physician Need 23 12 2 8 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 Population 1,409,985 Physician Need 49 49 47 44 47 32 41 2008 Actual Physicians 43 Status Deficit: Deficit: Deficit: Deficit: Deficit: Surplus: Surplus: /100k 3.0 -6 -6 -4 -1 -4 11 2 2.6 37 1.9 27 2.9 40 2.9 41 Surplus: 6 Surplus: 16 Surplus: 3 Surplus: 2 2015 Projected Population 1,550,761 Physician Need 54 54 51 48 51 36 45 40 29 44 45 Georgia Physician Workforce: AHEC Reports - 2008 Page 15 Three Rivers AHEC Physician Standard Report Included Counties: Bibb, Butts, Carroll, Chattahoochee, Coweta, Crawford, Fayette, Harris, Heard, Henry, Jasper, Jones, Lamar, Macon, Marion, Meriwether, Monroe, Muscogee, Newton, Peach, Pike, Rockdale, Schley, Spalding, Talbot, Taylor, Troup, Upson 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.