Designated
Health Professional Shortage Areas
Statistics






As of January 15, 2019



Bureau of Health Workforce
Health Resources and Services Administration (HRSA)
U.S. Department of Health & Human Services
Table 1. Health Professional Shortage Areas: Number, Population, and Additional Practitioners
Needed for Geographic Areas, Population Groups, and Facilities as of January 15, 2019
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
7,027
  
79,125,152
   
43.85 %
(4)
  
14,900
(7)
 
Geographic Area
1,319
  
31,521,741
   
58.02 %
   
4,111
  
Population Group
1,723
  
46,202,073
   
35.94 %
   
9,852
  
Facility
3,985
  
1,401,338
   
31.78 %
   
937
  
Dental Health HPSA Totals
5,834
  
57,937,800
   
29.26 %
(5)
  
10,635
(8)
 
Geographic Area
599
  
11,386,974
   
50.16 %
   
1,294
  
Population Group
1,797
  
44,676,034
   
24.52 %
   
8,436
  
Facility
3,438
  
1,874,792
   
27.85 %
   
905
  
Mental Health HPSA Totals
5,125
  
115,383,074
   
26.10 %
(6)
  
6,894
(9)
 
Geographic Area
1,049
  
79,728,867
   
30.04 %
   
3,671
  
Population Group
453
  
33,559,820
   
17.34 %
   
2,044
  
Facility
3,623
  
2,094,387
   
26.74 %
   
1,179
  
HRSA Data Warehouse
1 of 7
March 18, 2019
Data as of:
01/15/2019

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of January 15, 2019
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
7,027
    
79,125,152
   
14,900
  
Rural
 
4,146
 
59.00 %
  
22,797,537
   
3,871
  
Geographic Area
 
868
 
12.35 %
  
12,721,422
   
1,656
  
Population Group
 
912
 
12.98 %
  
9,399,378
   
1,779
  
Facility
 
2,366
 
33.67 %
  
676,737
   
436
  
Non-Rural
 
2,416
 
34.38 %
  
40,238,022
   
8,323
  
Geographic Area
 
241
 
3.43 %
  
11,914,116
   
1,645
  
Population Group
 
556
 
7.91 %
  
27,599,305
   
6,177
  
Facility
 
1,619
 
23.04 %
  
724,601
   
501
  
Partially Rural (11)
 
461
 
6.56 %
  
16,047,480
   
2,695
  
Geographic Area
 
206
 
2.93 %
  
6,844,090
   
799
  
Population Group
 
255
 
3.63 %
  
9,203,390
   
1,896
  
Unknown (12)
 
4
 
0.06 %
  
42,113
   
11
  
Geographic Area
 
4
 
0.06 %
  
42,113
   
11
  
Dental Health HPSA Totals
 
5,834
    
57,937,800
   
10,635
  
Rural
 
3,449
 
59.12 %
  
19,423,854
   
3,537
  
Geographic Area
 
464
 
7.95 %
  
6,501,455
   
777
  
Population Group
 
1,049
 
17.98 %
  
11,999,189
   
2,337
  
Facility
 
1,936
 
33.18 %
  
923,210
   
423
  
Non-Rural
 
2,043
 
35.02 %
  
26,635,402
   
4,993
  
Geographic Area
 
66
 
1.13 %
  
2,813,651
   
284
  
Population Group
 
475
 
8.14 %
  
22,870,169
   
4,227
  
Facility
 
1,502
 
25.75 %
  
951,582
   
482
  
Partially Rural
 
337
 
5.78 %
  
11,804,868
   
2,092
  
Geographic Area
 
66
 
1.13 %
  
2,024,549
   
225
  
Population Group
 
271
 
4.65 %
  
9,780,319
   
1,867
  
Unknown
 
5
 
0.09 %
  
73,676
   
13
  
Geographic Area
 
3
 
0.05 %
  
47,319
   
8
  
Population Group
 
2
 
0.03 %
  
26,357
   
5
  
Mental Health HPSA Totals
 
5,125
    
115,383,074
   
6,894
  
Rural
 
2,721
 
53.09 %
  
26,145,246
   
1,886
  
Geographic Area
 
625
 
12.20 %
  
22,770,815
   
1,277
  
Population Group
 
108
 
2.11 %
  
2,396,760
   
184
  
Facility
 
1,988
 
38.79 %
  
977,671
   
425
  
Non-Rural
 
1,965
 
38.34 %
  
37,766,828
   
2,539
  
Geographic Area
 
136
 
2.65 %
  
18,406,514
   
714
  
Population Group
 
194
 
3.79 %
  
18,243,598
   
1,071
  
Facility
 
1,635
 
31.90 %
  
1,116,716
   
754
  
Partially Rural
 
436
 
8.51 %
  
51,230,756
   
2,454
  
Geographic Area
 
286
 
5.58 %
  
38,506,271
   
1,678
  
Population Group
 
150
 
2.93 %
  
12,724,485
   
776
  
Unknown
 
3
 
0.06 %
  
240,244
   
15
  
Geographic Area
 
2
 
0.04 %
  
45,267
   
2
  
Population Group
 
1
 
0.02 %
  
194,977
   
13
  
HRSA Data Warehouse
2 of 7
March 18, 2019
Data as of:
01/15/2019

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
March 18, 2019
Data as of:
01/15/2019

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of January 15, 2019
              
Primary Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(3)
Designation
(6)
HPSA Total
7,027
  
1,319
1,723
3,985
79,125,152
43.85 %
 
14,900
 
Region I
254
  
21
50
183
1,304,217
30.41 %
 
313
 
Connecticut
43
  
0
22
21
442,392
0.24 %
 
149
 
Maine
66
  
12
8
46
79,195
36.88 %
 
16
 
Massachusetts
67
  
4
9
54
504,948
36.88 %
 
110
 
New Hampshire
30
  
2
6
22
96,029
60.01 %
 
14
 
Rhode Island
14
  
1
3
10
167,510
65.94 %
 
21
 
Vermont
34
  
2
2
30
14,143
46.14 %
 
3
 
Region II
270
  
12
100
158
7,647,290
21.89 %
 
2,007
 
New Jersey
35
  
0
0
35
28,823
54.90 %
 
13
 
New York
191
  
9
83
99
5,822,400
26.53 %
 
1,425
 
Puerto Rico
39
  
0
17
22
1,690,470
1.92 %
 
554
 
U.S. Virgin Islands
5
  
3
0
2
105,597
58.13 %
 
15
 
Region III
484
  
82
120
282
4,405,511
48.18 %
 
805
 
Delaware
15
  
2
4
9
237,967
32.40 %
 
58
 
District of Columbia
15
  
3
3
9
247,613
27.86 %
 
63
 
Maryland
62
  
7
30
25
1,156,318
43.83 %
 
245
 
Pennsylvania
158
  
16
25
117
540,407
43.39 %
 
124
 
Virginia
111
  
48
17
46
1,580,206
61.19 %
 
195
 
West Virginia
123
  
6
41
76
643,000
45.90 %
 
120
 
Region IV
1,345
  
277
468
600
21,203,488
44.82 %
 
3,953
 
Alabama
119
  
44
30
45
2,557,799
58.71 %
 
354
 
Florida
275
  
17
120
138
6,133,919
22.09 %
 
1,658
 
Georgia
235
  
55
97
83
3,217,771
42.70 %
 
627
 
Kentucky
176
  
48
39
89
1,166,737
53.71 %
 
175
 
Mississippi
117
  
53
26
38
1,746,844
41.16 %
 
341
 
North Carolina
186
  
23
63
100
1,965,809
46.70 %
 
334
 
South Carolina
92
  
14
29
49
1,928,557
68.76 %
 
206
 
Tennessee
145
  
23
64
58
2,486,052
69.25 %
 
258
 
Region V
1,142
  
190
241
711
11,775,913
55.15 %
 
1,735
 
Illinois
231
  
40
77
114
3,324,631
55.38 %
 
483
 
Indiana
130
  
30
35
65
2,123,212
76.76 %
 
165
 
Michigan
366
  
25
61
280
3,275,197
40.47 %
 
647
 
Minnesota
123
  
29
20
74
445,792
46.39 %
 
78
 
Ohio
159
  
41
20
98
1,458,554
55.76 %
 
209
 
Wisconsin
133
  
25
28
80
1,148,527
58.96 %
 
153
 
Region VI
981
  
242
212
527
10,560,352
53.66 %
 
1,639
 
Arkansas
90
  
14
41
35
512,060
51.00 %
 
88
 
Louisiana
141
  
41
28
72
2,269,620
65.44 %
 
255
 
New Mexico
104
  
29
10
65
1,048,498
23.00 %
 
261
 
Oklahoma
183
  
13
62
108
1,276,291
57.11 %
 
194
 
Texas
463
  
145
71
247
5,453,883
54.03 %
 
841
 
Region VII
599
  
63
194
342
3,357,031
28.85 %
 
788
 
Iowa
130
  
29
32
69
651,570
55.33 %
 
95
 
Kansas
157
  
18
64
75
994,366
44.67 %
 
180
 
Missouri
207
  
8
98
101
1,697,303
10.06 %
 
509
 
Nebraska
105
  
8
0
97
13,792
20.40 %
 
4
 
Region VIII
508
  
162
102
244
2,878,066
42.63 %
 
555
 
Colorado
121
  
24
37
60
1,108,338
34.41 %
 
264
 
Montana
118
  
25
31
62
412,474
35.28 %
 
85
 
North Dakota
75
  
44
2
29
185,865
32.93 %
 
37
 
South Dakota
92
  
35
14
43
238,804
41.54 %
 
45
 
Utah
58
  
15
13
30
744,682
59.87 %
 
100
 
Wyoming
44
  
19
5
20
187,903
53.81 %
 
24
 
Region IX
970
  
202
142
626
12,278,671
43.42 %
 
2,332
 
Arizona
196
  
53
41
102
2,973,640
41.69 %
 
580
 
California
646
  
121
85
440
7,719,486
43.21 %
 
1,475
 
Hawaii
27
  
4
2
21
183,754
72.90 %
 
14
 
Nevada
82
  
16
13
53
949,520
47.76 %
 
170
 
American Samoa
2
  
1
0
1
55,009
5.45 %
 
17
 
Federated States of Micronesia
8
  
3
1
4
101,519
0.00 %
 
34
 
Guam
2
  
1
0
1
178,457
72.28 %
 
16
 
Marshall Islands
2
  
1
0
1
53,158
0.00 %
 
18
 
Northern Mariana Islands
3
  
1
0
2
53,366
72.13 %
 
4
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
4
 
Region X
474
  
68
94
312
3,714,613
35.24 %
 
773
 
Alaska
86
  
15
0
71
105,032
26.34 %
 
24
 
Idaho
99
  
14
29
56
490,174
49.24 %
 
81
 
Oregon
125
  
12
33
80
909,657
51.36 %
 
150
 
Washington
164
  
27
32
105
2,209,750
25.22 %
 
518
 
HRSA Data Warehouse
4 of 7
March 18, 2019
Data as of:
01/15/2019

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of January 15, 2019
              
Dental Health
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(4)
Designation
(7)
HPSA Total
5,834
  
599
1,797
3,438
57,937,800
29.26 %
 
10,635
 
Region I
237
  
18
52
167
1,275,351
35.84 %
 
216
 
Connecticut
37
  
0
19
18
395,968
0.00 %
 
101
 
Maine
74
  
13
21
40
295,798
40.10 %
 
40
 
Massachusetts
59
  
3
4
52
345,672
66.17 %
 
34
 
New Hampshire
24
  
0
3
21
29,830
40.32 %
 
5
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
29
  
2
1
26
29,428
53.66 %
 
2
 
Region II
212
  
6
37
169
2,506,100
23.53 %
 
521
 
New Jersey
40
  
0
0
40
45,705
25.96 %
 
23
 
New York
143
  
2
37
104
2,341,260
23.10 %
 
476
 
Puerto Rico
24
  
1
0
23
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
105,976
32.39 %
 
18
 
Region III
452
  
44
166
242
5,558,279
35.61 %
 
922
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
82,914
2.41 %
 
21
 
Maryland
58
  
11
27
20
1,232,683
17.91 %
 
238
 
Pennsylvania
166
  
2
56
108
2,023,871
47.08 %
 
295
 
Virginia
92
  
22
38
32
1,303,522
43.21 %
 
178
 
West Virginia
115
  
9
40
66
737,165
28.67 %
 
140
 
Region IV
1,145
  
140
475
530
18,404,746
24.53 %
 
3,589
 
Alabama
74
  
0
43
31
1,827,739
20.59 %
 
375
 
Florida
240
  
3
110
127
5,549,510
13.22 %
 
1,266
 
Georgia
196
  
41
83
72
2,076,612
22.87 %
 
421
 
Kentucky
124
  
14
30
80
617,809
49.72 %
 
74
 
Mississippi
110
  
56
23
31
1,805,889
45.53 %
 
251
 
North Carolina
165
  
3
75
87
2,501,104
18.69 %
 
524
 
South Carolina
85
  
20
18
47
1,656,370
40.57 %
 
251
 
Tennessee
151
  
3
93
55
2,369,713
29.28 %
 
427
 
Region V
1,024
  
18
420
586
9,912,363
26.27 %
 
1,886
 
Illinois
170
  
4
78
88
2,363,725
37.11 %
 
380
 
Indiana
103
  
2
53
48
1,346,130
30.57 %
 
246
 
Michigan
345
  
1
116
228
2,470,751
5.56 %
 
599
 
Minnesota
124
  
9
56
59
710,948
15.58 %
 
153
 
Ohio
153
  
2
68
83
1,809,172
34.13 %
 
304
 
Wisconsin
129
  
0
49
80
1,211,637
36.33 %
 
204
 
Region VI
753
  
148
156
449
6,570,769
43.28 %
 
1,002
 
Arkansas
84
  
8
50
26
648,937
36.02 %
 
105
 
Louisiana
124
  
35
25
64
2,197,149
55.18 %
 
249
 
New Mexico
83
  
21
16
46
891,071
21.44 %
 
174
 
Oklahoma
163
  
6
57
100
894,393
35.52 %
 
166
 
Texas
299
  
78
8
213
1,939,219
45.88 %
 
308
 
Region VII
494
  
41
194
259
2,863,982
19.37 %
 
571
 
Iowa
121
  
8
54
59
534,250
35.36 %
 
92
 
Kansas
123
  
22
54
47
594,586
24.49 %
 
103
 
Missouri
173
  
11
84
78
1,732,104
12.50 %
 
376
 
Nebraska
77
  
0
2
75
3,042
60.53 %
 
0
 
Region VIII
379
  
80
95
204
2,182,680
42.33 %
 
325
 
Colorado
99
  
20
29
50
863,797
36.76 %
 
147
 
Montana
98
  
10
31
57
351,605
31.58 %
 
62
 
North Dakota
42
  
23
0
19
98,871
33.66 %
 
12
 
South Dakota
61
  
18
11
32
143,923
27.12 %
 
29
 
Utah
51
  
5
20
26
674,834
59.05 %
 
70
 
Wyoming
28
  
4
4
20
49,650
51.72 %
 
5
 
Region IX
744
  
69
107
568
4,992,353
30.77 %
 
934
 
Arizona
184
  
38
48
98
2,424,955
32.95 %
 
426
 
California
446
  
14
40
392
1,193,697
31.25 %
 
251
 
Hawaii
23
  
1
2
20
110,229
52.63 %
 
13
 
Nevada
71
  
7
16
48
877,695
32.99 %
 
152
 
American Samoa
2
  
1
0
1
55,009
0.00 %
 
14
 
Federated States of Micronesia
8
  
4
0
4
102,843
0.00 %
 
26
 
Guam
2
  
0
1
1
82,842
5.79 %
 
20
 
Marshall Islands
3
  
2
0
1
80,955
0.00 %
 
18
 
Northern Mariana Islands
3
  
1
0
2
53,366
0.00 %
 
11
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
3
 
Region X
394
  
35
95
264
3,671,177
24.31 %
 
669
 
Alaska
70
  
13
0
57
115,203
32.97 %
 
18
 
Idaho
95
  
6
36
53
498,559
45.25 %
 
67
 
Oregon
105
  
1
36
68
1,134,788
20.37 %
 
229
 
Washington
124
  
15
23
86
1,922,627
20.46 %
 
355
 
HRSA Data Warehouse
5 of 7
March 18, 2019
Data as of:
01/15/2019

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of January 15, 2019
              
Mental Health Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(5)
Designation
(8)
HPSA Total
5,125
  
1,049
453
3,623
115,383,074
26.10 %
 
6,894
 
Region I
201
  
21
11
169
2,176,268
28.58 %
 
151
 
Connecticut
34
  
3
5
26
1,084,864
15.02 %
 
76
 
Maine
51
  
12
0
39
261,782
33.58 %
 
29
 
Massachusetts
58
  
1
5
52
294,816
25.27 %
 
27
 
New Hampshire
21
  
3
0
18
92,634
45.04 %
 
3
 
Rhode Island
13
  
2
1
10
442,172
57.16 %
 
16
 
Vermont
24
  
0
0
24
 
---
   
Region II
278
  
14
65
199
6,589,403
23.66 %
 
478
 
New Jersey
38
  
0
0
38
32,755
71.51 %
 
4
 
New York
191
  
10
52
129
4,786,148
22.46 %
 
365
 
Puerto Rico
44
  
1
13
30
1,665,999
14.27 %
 
100
 
U.S. Virgin Islands
5
  
3
0
2
104,501
60.95 %
 
9
 
Region III
408
  
60
63
285
6,428,373
29.39 %
 
507
 
Delaware
15
  
0
1
14
94,672
16.27 %
 
18
 
District of Columbia
10
  
1
0
9
133,945
5.31 %
 
28
 
Maryland
59
  
10
17
32
1,579,085
27.26 %
 
103
 
Pennsylvania
124
  
23
1
100
1,677,183
35.91 %
 
109
 
Virginia
83
  
17
9
57
2,225,317
39.93 %
 
120
 
West Virginia
117
  
9
35
73
718,171
16.89 %
 
129
 
Region IV
803
  
131
137
535
27,322,090
22.94 %
 
1,883
 
Alabama
57
  
14
7
36
2,932,858
23.99 %
 
159
 
Florida
183
  
17
41
125
6,280,330
16.13 %
 
409
 
Georgia
99
  
18
8
73
4,834,543
38.05 %
 
199
 
Kentucky
107
  
23
5
79
2,157,244
29.84 %
 
118
 
Mississippi
49
  
15
0
34
2,775,574
24.29 %
 
385
 
North Carolina
167
  
24
51
92
2,522,692
13.90 %
 
149
 
South Carolina
69
  
10
11
48
2,418,422
37.54 %
 
108
 
Tennessee
72
  
10
14
48
3,400,427
11.66 %
 
356
 
Region V
814
  
181
30
603
19,537,642
27.13 %
 
1,054
 
Illinois
129
  
32
4
93
4,850,399
23.30 %
 
224
 
Indiana
79
  
22
0
57
3,738,068
34.74 %
 
159
 
Minnesota
68
  
9
0
59
2,001,152
33.12 %
 
80
 
Michigan
279
  
48
13
218
4,132,859
23.94 %
 
212
 
Ohio
122
  
20
11
91
2,575,843
36.64 %
 
124
 
Wisconsin
137
  
50
2
85
2,239,321
19.42 %
 
255
 
Region VI
797
  
282
43
472
19,631,483
30.32 %
 
992
 
Arkansas
47
  
5
10
32
1,266,192
31.82 %
 
65
 
Louisiana
129
  
54
11
64
3,458,028
23.38 %
 
171
 
New Mexico
72
  
16
2
54
1,251,275
12.30 %
 
75
 
Oklahoma
118
  
4
9
105
1,563,013
23.23 %
 
96
 
Texas
431
  
203
11
217
12,092,975
34.53 %
 
585
 
Region VII
333
  
42
22
269
5,985,438
24.54 %
 
305
 
Iowa
72
  
15
0
57
1,610,233
39.24 %
 
53
 
Kansas
70
  
19
2
49
1,387,256
31.63 %
 
55
 
Missouri
110
  
3
20
87
1,948,955
7.20 %
 
171
 
Nebraska
81
  
5
0
76
1,038,994
50.82 %
 
26
 
Region VIII
342
  
91
17
234
7,743,650
32.31 %
 
387
 
Colorado
92
  
11
8
73
2,665,498
30.15 %
 
131
 
Montana
83
  
21
7
55
602,361
13.27 %
 
71
 
North Dakota
51
  
26
0
25
291,463
18.75 %
 
20
 
South Dakota
51
  
14
1
36
456,245
11.63 %
 
43
 
Utah
41
  
14
1
26
3,166,896
49.71 %
 
97
 
Wyoming
24
  
5
0
19
561,187
31.46 %
 
25
 
Region IX
782
  
153
50
579
14,047,604
25.36 %
 
824
 
Arizona
177
  
64
15
98
2,874,766
11.31 %
 
185
 
California
498
  
66
31
401
7,998,436
30.35 %
 
433
 
Hawaii
28
  
5
2
21
191,566
17.54 %
 
9
 
Nevada
58
  
8
1
49
2,445,591
29.40 %
 
146
 
American Samoa
2
  
1
0
1
55,009
0.00 %
 
12
 
Federated States of Micronesia
8
  
4
0
4
102,843
0.00 %
 
23
 
Guam
3
  
1
1
1
242,200
35.80 %
 
8
 
Marshall Islands
2
  
1
0
1
53,158
0.00 %
 
3
 
Northern Mariana Islands
3
  
1
0
2
53,366
0.00 %
 
3
 
Republic of Palau
3
  
2
0
1
30,669
0.00 %
 
2
 
Region X
367
  
74
15
278
5,921,123
17.63 %
 
313
 
Alaska
76
  
18
0
58
276,673
22.98 %
 
10
 
Idaho
62
  
6
1
55
1,276,991
24.03 %
 
56
 
Oregon
95
  
15
8
72
1,528,647
22.97 %
 
82
 
Washington
134
  
35
6
93
2,838,812
11.31 %
 
165
 
HRSA Data Warehouse
6 of 7
March 18, 2019
Data as of:
01/15/2019

Designated
Health Professional Shortage Areas
Statistics
 
Endnotes
 
(1)
The number of designations includes HPSAs that are proposed for withdrawal (P) and HPSAs that have no data (N). Designations are not withdrawn until a Federal Register Notice is published, generally once a year on or around July 1.
 
(2)
The figure reported for the Population of Designated Facility HPSAs for both Primary Care and Dental reflects the number of internees in designated correctional facilities. The figure reported for the Population of Designated Facility HPSAs for Mental Health reflects the number of internees in designated correctional facilities, as well as the average daily inpatient census for state and county mental hospitals designated after September 1, 2015. For reports generated prior to September 1, 2015, the Population of Designated Facility HPSAs for all disciplines included populations served by other public or non-profit facilities. These are facilities that qualify for HPSA designation by demonstrating that even though they are not located in a geographic or population HPSA, they serve the populations of geographic and population HPSAs. As a result, these populations were potentially double counted.
 
(3)
The figure reported for Percent of Need Met for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet National Health Service Corps (NHSC) site requirements.
 
(4)
The percent of need met is computed by dividing the number of primary care physicians available to serve the population of the area, group, or facility by the number of primary care physicians that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a primary care HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For primary care geographic designations, the population to provider ratio must be at least 3,500 to 1. For primary care population designations or geographic designations in areas with unusually high needs, the threshold is 3,000 to 1. For correctional facilities, the threshold is 1,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(5)
The percent of need met is computed by dividing the number of dentists available to serve the population of the area, group, or facility by the number of dentists that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a dental HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For dental geographic designations, the ratio must be at least 5,000 to 1. For dental population designations or geographic designations in areas with unusually high needs, the threshold is 4,000 to 1. For correctional facilities, the threshold is 1,500:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(6)
The percent of need met is computed by dividing the number of mental health providers available to serve the population of the area, group, or facility by the number of mental health providers that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a mental health HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. Mental health designations may qualify for designation based on the population to psychiatrist ratio, the population to core mental health provider (psychiatrists, clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists) ratio, or the population to both psychiatrist and core mental health provider ratios. For mental health geographic designations based on the ratio of population to psychiatrist ratio, the designation must have a ratio of 30,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 20,000 to 1. For mental health geographic designations based on the ratio of population to core mental health providers, the designation must have a ratio of 9,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 6,000 to 1. For mental health geographic designations based on the ratios of both population to psychiatrist and population to core mental health providers, the designation must have ratios of 20,000 to 1 (psychiatrists) and 6,000 to 1 (core mental health providers), while for population designations or geographic designations in areas with unusually high needs, the thresholds are 15,000 to 1 (psychiatrists) and 4,500 to 1 (core mental health providers). For correctional facilities, the threshold is 2,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed. For state mental hospitals, the calculation is based on workload units, which are a function of the average daily inpatient census and the number and type of admissions. For correctional facilities and state mental hospitals, psychiatrists are the only provider type counted.
 
(7)
The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio below the thresholds necessary for designation in all designated primary care HPSAs that would result in their removal from designation. The formula used to designate primary care HPSAs does not take into account the availability of additional primary care services provided by nurse practitioners and physician assistants in an area. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(8)
The number of additional dentists needed to achieve a population-to-dentist ratio below the thresholds necessary for designation in all designated dental HPSAs that would result in their removal from designation. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(9)
The number of additional mental health providers needed to achieve a population-to-provider ratio below the thresholds necessary for designation in all designated mental health HPSAs that would result in their removal from designation. While the regulations allow mental health HPSA designations to be based on the psychiatrist to population ratio, the core mental health provider to population ratio, or both in conjunction, most mental health HPSA designations are currently based on the psychiatrists only to population ratio. If a HPSA designation is based on the ratio of population to psychiatrists only, it does not take into account the availability of additional mental health services provided by other mental health providers in the area, such as clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(10)
Percentages of all designations classified as rural/non-rural are calculated by dividing the number of designations for the specified subcategory by the total number of designations for each discipline type and multiplying the result by 100. Due to decimal rounding, percentage totals may not equal exactly 100%.
 
(11)
Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknown statuses.
 
(12)
Designations of unknown rural status may include 1) facility HPSAs whose precise location could not be located on a map (i.e. geocoded) or 2) geographic or population group HPSAs that are made up of some or all areas for which rural status is undefined. Rural status may be undefined where rural information or underlying geographic reference data for administrative boundaries is unavailable for the specified geographic area.
   
HRSA Data Warehouse
7 of 7
March 18, 2019
Data as of:
01/15/2019