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.