Georgia physician workforce: MSA reports, 2008 Warner-Robins MSA physician standard report, included counties: Houston

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 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

Physician /100k

125,975

7

5.6

Physician Need
18

Status Deficit: -11

12

Deficit: -5

11

Deficit: -4

11

Deficit: -4

7

Adequate 0

5

Surplus: 2

11

Deficit: -4

9

Deficit: -2

10

Deficit: -3

2015 Projected
Population 129,065
Physician Need 18 13 12 11 8 5 12
9
10

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

Physician /100k

125,975

8

6.4

Physician Need
9

Status Deficit: -1

7

Surplus: 1

6

Surplus: 2

4

Surplus: 4

4

Surplus: 4

2

Surplus: 6

4

Surplus: 4

5

Surplus: 3

3

Surplus: 5

5

Surplus: 3

4

Surplus: 4

2015 Projected
Population 129,065
Physician Need 10 7 6 4 4 2 4
5 3 5 5

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 2

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

Physician /100k

125,975

4

3.2

Physician Need
5

Status Deficit: -1

4

Adequate 0

3

Surplus: 1

4

Adequate 0

3

Surplus: 1

3

Surplus: 1

3

Surplus: 1

2

Surplus: 2

2

Surplus: 2

3

Surplus: 1

4

Adequate 0

3

Surplus: 1

2015 Projected
Population 129,065
Physician Need 5 4 3 4 3 3 3 2 2 3 4 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

Physician /100k

125,975

14

11.1

Physician Need
13

Status Surplus: 1

7

Surplus: 7

7

Surplus: 7

7

Surplus: 7

8

Surplus: 6

7

Surplus: 7

3

Surplus: 11

16

Deficit: -2

8

Surplus: 6

2015 Projected
Population 129,065
Physician Need 14 7 7 7 9 7
3
16 8

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

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

Physician /100k

125,975

31

24.6

Physician Need
40

Status Deficit: -9

57

Deficit: -26

54

Deficit: -23

32

Deficit: -1

21

Surplus: 10

14

Surplus: 17

12

Surplus: 19

20

Surplus: 11

28

Surplus: 3

30

Surplus: 1

2015 Projected
Population 129,065
Physician Need 41 59 55 33 22 14
12
21 29 30

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

Physician /100k

125,975

1

0.8

Physician Need
5

Status Deficit: -4

4

Deficit: -3

4

Deficit: -3

2

Deficit: -1

2

Deficit: -1

2

Deficit: -1

4

Deficit: -3

3

Deficit: -2

2015 Projected
Population 129,065
Physician Need 5 4
4 2 2
2
5 3

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 4

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

Physician /100k

125,975

3

2.4

Physician Need
3

Status Adequate 0

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

2

Surplus: 1

1

Surplus: 2

1

Surplus: 2

1

Surplus: 2

2015 Projected
Population 129,065
Physician Need 3 1 1 1 2 1 1
1

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

Physician /100k

125,975

33

26.2

Physician Need
67

Status Deficit: -34

27

Surplus: 6

25

Surplus: 8

36

Deficit: -3

35

Deficit: -2

38

Deficit: -5

21

Surplus: 12

14

Surplus: 19

24

Surplus: 9

28

Surplus: 5

2015 Projected
Population 129,065
Physician Need 69 28 26 37 36 39
22
15 25 28

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 5

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

Physician /100k

125,975

5

4.0

Physician Need
3

Status Surplus: 2

2

Surplus: 3

2

Surplus: 3

1

Surplus: 4

1

Surplus: 4

1

Surplus: 4

1

Surplus: 4

1

Surplus: 4

1

Surplus: 4

2015 Projected
Population 129,065
Physician Need 3 2 2 1 1 1 1
1 1

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

Physician /100k

125,975

2

1.6

Physician Need
6

Status Deficit: -4

3

Deficit: -1

3

Deficit: -1

4

Deficit: -2

2

Adequate 0

2

Adequate 0

2

Adequate 0

3

Deficit: -1

2

Adequate 0

2

Adequate 0

2

Adequate 0

2015 Projected
Population 129,065
Physician Need 6 3 3 4 2 2 2
3 2 2 2

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 6

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

Physician /100k

125,975

14

11.1

Physician Need
18

Status Deficit: -4

15

Deficit: -1

14

Adequate 0

12

Surplus: 2

15

Deficit: -1

14

Adequate 0

13

Surplus: 1

11

Surplus: 3

11

Surplus: 3

10

Surplus: 4

13

Surplus: 1

13

Surplus: 1

2015 Projected
Population 129,065
Physician Need 18 16 15 13 15 15 13 11 11 10 13 13

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

Physician /100k

125,975

7

5.6

Physician Need
8

Status Deficit: -1

7

Adequate 0

7

Adequate 0

6

Surplus: 1

3

Surplus: 4

4

Surplus: 3

6

Surplus: 1

4

Surplus: 3

4

Surplus: 3

6

Surplus: 1

5

Surplus: 2

2015 Projected
Population 129,065
Physician Need 8 8 7 6 3 4 6
5 4 6 5

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 7

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

Physician /100k

125,975

11

8.7

Physician Need
10

Status Surplus: 1

9

Surplus: 2

8

Surplus: 3

8

Surplus: 3

7

Surplus: 4

5

Surplus: 6

8

Surplus: 3

4

Surplus: 7

7

Surplus: 4

5

Surplus: 6

8

Surplus: 3

7

Surplus: 4

2015 Projected
Population 129,065
Physician Need 11 9 8 8 8 5 9 4 8 5 8 7

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

Physician /100k

125,975

3

2.4

Physician Need
4

Status Deficit: -1

4

Deficit: -1

4

Deficit: -1

4

Deficit: -1

3

Adequate 0

4

Deficit: -1

4

Deficit: -1

2015 Projected
Population 129,065
Physician Need 4 4
4 4 3 4
4

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 8

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

Physician /100k

125,975

4

3.2

Physician Need
8

Status Deficit: -4

2

Surplus: 2

2

Surplus: 2

8

Deficit: -4

4

Adequate 0

2

Surplus: 2

5

Deficit: -1

4

Adequate 0

2015 Projected
Population 129,065
Physician Need 8 2 2 8 4 2
5
4

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

Physician /100k

125,975

17

13.5

Physician Need
31

Status Deficit: -14

21

Deficit: -4

20

Deficit: -3

16

Surplus: 1

15

Surplus: 2

20

Deficit: -3

12

Surplus: 5

10

Surplus: 7

18

Deficit: -1

16

Surplus: 1

2015 Projected
Population 129,065
Physician Need 32 21 20 16 15 21
13
10 18 17

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 9

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

Physician /100k

125,975

9

7.1

Physician Need
17

Status Deficit: -8

10

Deficit: -1

9

Adequate 0

19

Deficit: -10

7

Surplus: 2

5

Surplus: 4

9

Adequate 0

5

Surplus: 4

7

Surplus: 2

9

Adequate 0

2015 Projected
Population 129,065
Physician Need 18 10 9 20 7 5
9 5 7 9

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

Physician /100k

125,975

4

3.2

Physician Need
4

Status Adequate 0

3

Surplus: 1

2

Surplus: 2

2

Surplus: 2

2

Surplus: 2

1

Surplus: 3

2

Surplus: 2

2

Surplus: 2

2

Surplus: 2

2

Surplus: 2

2015 Projected
Population 129,065
Physician Need 5 3 2 2 2 1 2
2
2 2

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 10

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

Physician /100k

125,975

9

7.1

Physician Need
14

Status Deficit: -5

17

Deficit: -8

17

Deficit: -8

10

Deficit: -1

11

Deficit: -2

6

Surplus: 3

10

Deficit: -1

10

Deficit: -1

11

Deficit: -2

2015 Projected
Population 129,065
Physician Need 15 18 18 10 11 6 10
10
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

2008 Actual

Population

Physician /100k

125,975

6

4.8

Physician Need
16

Status Deficit: -10

12

Deficit: -6

11

Deficit: -5

12

Deficit: -6

9

Deficit: -3

8

Deficit: -2

7

Deficit: -1

5

Surplus: 1

12

Deficit: -6

5

Surplus: 1

8

Deficit: -2

9

Deficit: -3

2015 Projected
Population 129,065
Physician Need 16 12 11 13 9 8 8 5 13 5 8 9

Georgia Physician Workforce: MSA Reports - 2008
Warner-Robins MSA Physician Standard Report
Included Counties: Houston

Page 11

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

Physician /100k

125,975

2

1.6

Physician Need
4

Status Deficit: -2

4

Deficit: -2

4

Deficit: -2

4

Deficit: -2

4

Deficit: -2

3

Deficit: -1

4

Deficit: -2

3

Deficit: -1

2

Adequate 0

4

Deficit: -2

4

Deficit: -2

2015 Projected
Population 129,065
Physician Need 5 5 4 4 4 3 4
3 2 4 4

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.