Designated
Health Professional Shortage Areas
Statistics






As of December 17, 2017



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 December 17, 2017
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
7,043
  
79,587,408
   
48.31 %
(4)
  
14,052
(7)
 
Geographic Area
1,494
  
35,740,662
   
61.99 %
   
4,420
  
Population Group
1,713
  
42,601,868
   
38.61 %
   
8,809
  
Facility
3,836
  
1,244,878
   
32.21 %
   
823
  
Dental HPSA Totals
5,796
  
61,795,796
   
35.36 %
(5)
  
10,627
(8)
 
Geographic Area
756
  
16,709,844
   
60.51 %
   
1,760
  
Population Group
1,757
  
43,405,099
   
25.80 %
   
8,055
  
Facility
3,283
  
1,680,853
   
27.19 %
   
812
  
Mental Health HPSA Totals
4,918
  
119,661,205
   
33.54 %
(6)
  
5,672
(9)
 
Geographic Area
1,098
  
92,332,227
   
39.99 %
   
3,349
  
Population Group
351
  
25,129,133
   
21.55 %
   
1,142
  
Facility
3,469
  
2,199,845
   
21.05 %
   
1,181
  
HRSA Data Warehouse
1 of 7
December 17, 2017
Data as of:
12/17/2017

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of December 17, 2017
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
7,043
    
79,587,408
   
14,052
  
Rural
 
4,175
 
59.28 %
  
23,430,752
   
3,885
  
Geographic Area
 
957
 
13.59 %
  
13,328,425
   
1,743
  
Population Group
 
952
 
13.52 %
  
9,504,309
   
1,764
  
Facility
 
2,266
 
32.17 %
  
598,018
   
378
  
Non-Rural
 
2,367
 
33.61 %
  
39,254,612
   
7,444
  
Geographic Area
 
297
 
4.22 %
  
14,565,652
   
1,807
  
Population Group
 
507
 
7.20 %
  
24,042,100
   
5,192
  
Facility
 
1,563
 
22.19 %
  
646,860
   
445
  
Partially Rural (11)
 
492
 
6.99 %
  
16,863,281
   
2,713
  
Geographic Area
 
238
 
3.38 %
  
7,807,822
   
860
  
Population Group
 
254
 
3.61 %
  
9,055,459
   
1,853
  
Unknown (12)
 
9
 
0.13 %
  
38,763
   
10
  
Geographic Area
 
2
 
0.03 %
  
38,763
   
10
  
Facility
 
7
 
0.10 %
         
Dental HPSA Totals
 
5,796
    
61,795,796
   
10,627
  
Rural
 
3,413
 
58.89 %
  
20,123,127
   
3,448
  
Geographic Area
 
560
 
9.66 %
  
7,987,416
   
896
  
Population Group
 
1,022
 
17.63 %
  
11,318,530
   
2,174
  
Facility
 
1,831
 
31.59 %
  
817,181
   
378
  
Non-Rural
 
2,012
 
34.71 %
  
28,551,913
   
4,992
  
Geographic Area
 
102
 
1.76 %
  
5,398,545
   
532
  
Population Group
 
464
 
8.01 %
  
22,289,696
   
4,026
  
Facility
 
1,446
 
24.95 %
  
863,672
   
434
  
Partially Rural
 
363
 
6.26 %
  
13,081,993
   
2,180
  
Geographic Area
 
92
 
1.59 %
  
3,285,120
   
325
  
Population Group
 
271
 
4.68 %
  
9,796,873
   
1,855
  
Unknown
 
8
 
0.14 %
  
38,763
   
7
  
Geographic Area
 
2
 
0.03 %
  
38,763
   
7
  
Facility
 
6
 
0.10 %
         
Mental Health HPSA Totals
 
4,918
    
119,661,205
   
5,672
  
Rural
 
2,626
 
53.40 %
  
27,351,221
   
1,653
  
Geographic Area
 
660
 
13.42 %
  
24,456,780
   
1,125
  
Population Group
 
85
 
1.73 %
  
1,925,427
   
125
  
Facility
 
1,881
 
38.25 %
  
969,014
   
403
  
Non-Rural
 
1,850
 
37.62 %
  
32,106,148
   
1,846
  
Geographic Area
 
123
 
2.50 %
  
18,513,655
   
569
  
Population Group
 
145
 
2.95 %
  
12,361,662
   
499
  
Facility
 
1,582
 
32.17 %
  
1,230,831
   
778
  
Partially Rural
 
433
 
8.80 %
  
60,139,378
   
2,170
  
Geographic Area
 
312
 
6.34 %
  
49,297,334
   
1,652
  
Population Group
 
121
 
2.46 %
  
10,842,044
   
518
  
Unknown
 
9
 
0.18 %
  
64,458
   
3
  
Geographic Area
 
3
 
0.06 %
  
64,458
   
3
  
Facility
 
6
 
0.12 %
         
HRSA Data Warehouse
2 of 7
December 17, 2017
Data as of:
12/17/2017

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
December 17, 2017
Data as of:
12/17/2017

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of December 17, 2017
              
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
7,043
  
1,494
1,713
3,836
79,587,408
48.31 %
 
14,052
 
Region I
252
  
22
51
179
1,306,508
30.42 %
 
319
 
Connecticut
40
  
0
23
17
451,884
0.23 %
 
153
 
Maine
67
  
13
8
46
82,203
40.42 %
 
16
 
Massachusetts
67
  
4
9
54
493,573
35.77 %
 
112
 
New Hampshire
31
  
2
7
22
104,855
59.68 %
 
16
 
Rhode Island
14
  
1
3
10
161,671
66.97 %
 
20
 
Vermont
33
  
2
1
30
12,322
53.56 %
 
2
 
Region II
262
  
23
94
145
6,036,704
28.83 %
 
1,550
 
New Jersey
34
  
0
0
34
28,823
54.90 %
 
13
 
New York
184
  
19
77
88
4,205,934
38.36 %
 
953
 
Puerto Rico
38
  
0
17
21
1,690,470
1.92 %
 
554
 
U.S. Virgin Islands
6
  
4
0
2
111,477
18.12 %
 
30
 
Region III
483
  
85
117
281
4,472,878
51.46 %
 
779
 
Delaware
13
  
2
4
7
233,024
31.91 %
 
55
 
District of Columbia
15
  
3
3
9
248,519
22.61 %
 
67
 
Maryland
57
  
9
23
25
1,134,201
47.51 %
 
222
 
Pennsylvania
165
  
18
32
115
727,671
56.05 %
 
134
 
Virginia
107
  
47
15
45
1,501,732
63.07 %
 
182
 
West Virginia
126
  
6
40
80
627,731
45.18 %
 
119
 
Region IV
1,273
  
268
459
546
20,210,030
45.84 %
 
3,697
 
Alabama
99
  
31
28
40
1,919,497
57.58 %
 
278
 
Florida
259
  
15
115
129
5,765,621
22.00 %
 
1,545
 
Georgia
237
  
59
94
84
3,129,358
44.15 %
 
588
 
Kentucky
161
  
51
28
82
1,077,788
60.10 %
 
146
 
Mississippi
116
  
53
25
38
1,735,319
41.46 %
 
340
 
North Carolina
159
  
20
66
73
1,902,580
47.22 %
 
322
 
South Carolina
103
  
18
36
49
2,230,932
69.35 %
 
233
 
Tennessee
139
  
21
67
51
2,448,935
70.21 %
 
245
 
Region V
1,149
  
221
235
693
11,530,642
61.41 %
 
1,466
 
Illinois
233
  
48
76
109
3,832,800
57.61 %
 
523
 
Indiana
150
  
42
52
56
2,614,706
74.26 %
 
225
 
Michigan
359
  
27
49
283
2,182,374
56.01 %
 
318
 
Minnesota
128
  
32
23
73
464,373
47.65 %
 
78
 
Ohio
146
  
41
13
92
1,339,787
55.37 %
 
200
 
Wisconsin
133
  
31
22
80
1,096,602
67.04 %
 
122
 
Region VI
984
  
286
197
501
11,099,655
61.66 %
 
1,552
 
Arkansas
102
  
22
53
27
653,328
62.63 %
 
92
 
Louisiana
138
  
49
23
66
2,425,450
65.54 %
 
274
 
New Mexico
104
  
29
10
65
1,048,498
23.00 %
 
261
 
Oklahoma
185
  
13
66
106
1,312,316
56.50 %
 
201
 
Texas
455
  
173
45
237
5,660,063
67.17 %
 
724
 
Region VII
649
  
91
219
339
3,750,252
34.16 %
 
826
 
Iowa
129
  
34
30
65
717,570
62.24 %
 
96
 
Kansas
165
  
19
74
72
796,837
51.28 %
 
133
 
Missouri
244
  
27
115
102
2,207,821
17.09 %
 
591
 
Nebraska
111
  
11
0
100
28,024
56.02 %
 
6
 
Region VIII
511
  
172
102
237
2,707,129
48.55 %
 
481
 
Colorado
122
  
24
38
60
1,068,743
38.41 %
 
225
 
Montana
116
  
27
28
61
311,901
40.08 %
 
58
 
North Dakota
79
  
46
5
28
196,275
36.03 %
 
38
 
South Dakota
92
  
40
12
40
225,020
40.63 %
 
41
 
Utah
62
  
16
17
29
746,636
66.90 %
 
100
 
Wyoming
40
  
19
2
19
158,554
55.67 %
 
19
 
Region IX
965
  
231
125
609
13,623,169
46.15 %
 
2,436
 
Arizona
193
  
68
26
99
3,924,927
47.08 %
 
667
 
California
638
  
130
79
429
7,797,408
45.96 %
 
1,416
 
Hawaii
26
  
5
2
19
184,449
69.81 %
 
17
 
Nevada
90
  
20
17
53
1,235,504
51.23 %
 
205
 
American Samoa
2
  
1
0
1
57,291
10.47 %
 
17
 
Federated States of Micronesia
8
  
3
1
4
106,632
0.00 %
 
36
 
Guam
2
  
1
0
1
186,337
29.79 %
 
44
 
Marshall Islands
2
  
1
0
1
50,638
0.00 %
 
17
 
Northern Mariana Islands
2
  
1
0
1
69,221
43.48 %
 
13
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
4
 
Region X
515
  
95
114
306
4,850,441
39.15 %
 
946
 
Alaska
86
  
17
0
69
116,708
29.15 %
 
29
 
Idaho
102
  
16
30
56
530,953
48.41 %
 
88
 
Oregon
121
  
14
29
78
973,105
58.59 %
 
137
 
Washington
206
  
48
55
103
3,229,675
31.63 %
 
692
 
HRSA Data Warehouse
4 of 7
December 17, 2017
Data as of:
12/17/2017

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of December 17, 2017
              
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
5,796
  
756
1,757
3,283
61,795,796
35.36 %
 
10,627
 
Region I
239
  
23
54
162
1,372,305
43.10 %
 
258
 
Connecticut
37
  
0
21
16
423,454
0.00 %
 
103
 
Maine
75
  
14
21
40
302,757
42.45 %
 
40
 
Massachusetts
61
  
7
4
50
400,156
65.00 %
 
73
 
New Hampshire
24
  
0
4
20
39,527
42.52 %
 
6
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
28
  
2
0
26
27,756
57.51 %
 
2
 
Region II
206
  
7
38
161
2,865,080
27.20 %
 
561
 
New Jersey
39
  
0
0
39
45,705
25.96 %
 
23
 
New York
139
  
3
38
98
2,701,721
26.79 %
 
519
 
Puerto Rico
23
  
1
0
22
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
104,495
42.11 %
 
15
 
Region III
437
  
43
155
239
5,157,519
39.24 %
 
825
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
83,820
8.83 %
 
20
 
Maryland
44
  
9
15
20
802,136
26.33 %
 
141
 
Pennsylvania
166
  
4
58
104
2,143,077
48.97 %
 
307
 
Virginia
88
  
21
36
31
1,207,685
43.01 %
 
166
 
West Virginia
118
  
9
41
68
742,677
28.80 %
 
141
 
Region IV
1,070
  
140
455
475
17,694,465
25.06 %
 
3,394
 
Alabama
64
  
0
43
21
1,792,743
20.37 %
 
357
 
Florida
223
  
1
105
117
5,185,561
13.28 %
 
1,169
 
Georgia
190
  
42
79
69
2,005,954
22.96 %
 
402
 
Kentucky
106
  
13
22
71
524,461
56.89 %
 
54
 
Mississippi
110
  
56
23
31
1,798,158
46.17 %
 
245
 
North Carolina
144
  
3
71
70
2,330,121
18.79 %
 
488
 
South Carolina
85
  
20
18
47
1,656,183
40.44 %
 
252
 
Tennessee
148
  
5
94
49
2,401,284
29.41 %
 
427
 
Region V
931
  
32
345
554
8,902,054
33.10 %
 
1,550
 
Illinois
166
  
6
77
83
2,580,979
45.31 %
 
376
 
Indiana
67
  
7
21
39
918,069
38.01 %
 
151
 
Michigan
283
  
1
60
222
1,323,505
6.01 %
 
321
 
Minnesota
133
  
11
65
57
768,755
20.41 %
 
159
 
Ohio
145
  
7
65
73
1,828,092
33.70 %
 
304
 
Wisconsin
137
  
0
57
80
1,482,654
37.79 %
 
239
 
Region VI
766
  
186
154
426
8,669,569
60.94 %
 
1,052
 
Arkansas
84
  
10
52
22
673,677
38.46 %
 
101
 
Louisiana
116
  
38
20
58
1,999,694
54.30 %
 
231
 
New Mexico
82
  
21
16
45
891,071
21.44 %
 
174
 
Oklahoma
163
  
7
59
97
901,763
35.85 %
 
163
 
Texas
321
  
110
7
204
4,203,364
75.34 %
 
383
 
Region VII
550
  
69
222
259
3,379,500
22.84 %
 
629
 
Iowa
124
  
13
56
55
575,429
42.02 %
 
82
 
Kansas
133
  
25
62
46
629,954
28.92 %
 
106
 
Missouri
212
  
30
102
80
2,166,301
15.73 %
 
441
 
Nebraska
81
  
1
2
78
7,816
78.38 %
 
0
 
Region VIII
370
  
79
92
199
1,908,627
47.05 %
 
257
 
Colorado
99
  
20
30
49
706,306
40.30 %
 
109
 
Montana
85
  
11
18
56
202,582
36.79 %
 
32
 
North Dakota
37
  
16
2
19
78,507
30.87 %
 
10
 
South Dakota
66
  
22
13
31
154,948
33.27 %
 
28
 
Utah
53
  
5
23
25
693,700
59.58 %
 
72
 
Wyoming
30
  
5
6
19
72,584
64.51 %
 
6
 
Region IX
812
  
129
128
555
7,410,313
32.37 %
 
1,319
 
Arizona
255
  
93
64
98
4,628,993
33.05 %
 
789
 
California
439
  
16
41
382
1,228,589
31.60 %
 
258
 
Hawaii
20
  
1
1
18
40,313
36.09 %
 
7
 
Nevada
81
  
11
22
48
1,240,327
36.40 %
 
200
 
American Samoa
2
  
1
0
1
57,291
8.38 %
 
13
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
27
 
Guam
1
  
0
0
1
 
---
   
Marshall Islands
2
  
1
0
1
27,797
0.00 %
 
7
 
Northern Mariana Islands
2
  
1
0
1
69,221
15.61 %
 
15
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
3
 
Region X
415
  
48
114
253
4,436,364
26.61 %
 
782
 
Alaska
66
  
15
0
51
138,234
37.34 %
 
20
 
Idaho
97
  
6
38
53
503,387
45.10 %
 
68
 
Oregon
103
  
3
34
66
1,090,746
21.65 %
 
216
 
Washington
149
  
24
42
83
2,703,997
24.56 %
 
478
 
HRSA Data Warehouse
5 of 7
December 17, 2017
Data as of:
12/17/2017

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of December 17, 2017
              
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
4,918
  
1,098
351
3,469
119,661,205
33.54 %
 
5,672
 
Region I
198
  
26
9
163
4,445,254
50.85 %
 
185
 
Connecticut
34
  
8
4
22
3,212,364
40.52 %
 
116
 
Maine
51
  
12
0
39
261,782
33.58 %
 
29
 
Massachusetts
56
  
1
4
51
436,302
42.35 %
 
29
 
New Hampshire
20
  
3
0
17
92,634
97.26 %
 
1
 
Rhode Island
13
  
2
1
10
442,172
67.86 %
 
10
 
Vermont
24
  
0
0
24
 
---
   
Region II
242
  
20
54
168
6,024,707
41.35 %
 
261
 
New Jersey
37
  
0
0
37
32,755
71.51 %
 
4
 
New York
159
  
16
43
100
4,435,492
42.43 %
 
197
 
Puerto Rico
41
  
1
11
29
1,451,959
21.04 %
 
51
 
U.S. Virgin Islands
5
  
3
0
2
104,501
60.95 %
 
9
 
Region III
405
  
68
54
283
7,073,540
40.87 %
 
437
 
Delaware
12
  
0
1
11
88,323
7.77 %
 
15
 
District of Columbia
10
  
1
0
9
133,945
2.79 %
 
29
 
Maryland
55
  
12
11
32
1,478,697
53.44 %
 
88
 
Pennsylvania
122
  
25
1
96
1,808,176
38.73 %
 
105
 
Virginia
79
  
17
7
55
2,141,634
40.70 %
 
110
 
West Virginia
127
  
13
34
80
1,422,765
38.28 %
 
90
 
Region IV
762
  
140
120
502
27,001,780
29.02 %
 
1,451
 
Alabama
53
  
14
7
32
2,913,725
25.83 %
 
149
 
Florida
160
  
16
32
112
4,935,227
28.88 %
 
158
 
Georgia
109
  
23
8
78
6,540,716
44.74 %
 
205
 
Kentucky
103
  
30
2
71
2,255,845
37.39 %
 
87
 
Mississippi
47
  
13
0
34
2,388,011
23.76 %
 
372
 
North Carolina
152
  
25
47
80
2,679,240
19.81 %
 
118
 
South Carolina
66
  
9
9
48
1,890,058
51.71 %
 
61
 
Tennessee
72
  
10
15
47
3,398,958
13.68 %
 
301
 
Region V
783
  
192
19
572
19,660,757
28.95 %
 
1,009
 
Illinois
125
  
32
5
88
4,945,360
27.82 %
 
206
 
Indiana
78
  
30
4
44
4,425,103
31.87 %
 
217
 
Minnesota
65
  
9
0
56
1,996,166
37.19 %
 
66
 
Michigan
269
  
51
3
215
3,796,494
28.74 %
 
167
 
Ohio
111
  
19
7
85
2,238,056
30.55 %
 
108
 
Wisconsin
135
  
51
0
84
2,259,578
23.56 %
 
245
 
Region VI
776
  
291
31
454
16,648,605
36.19 %
 
789
 
Arkansas
45
  
5
9
31
1,088,383
42.09 %
 
30
 
Louisiana
120
  
53
8
59
3,150,212
21.88 %
 
162
 
New Mexico
72
  
16
2
54
1,251,275
12.30 %
 
75
 
Oklahoma
116
  
4
9
103
1,551,366
21.60 %
 
93
 
Texas
423
  
213
3
207
9,607,369
44.31 %
 
429
 
Region VII
340
  
52
18
270
7,308,215
34.62 %
 
263
 
Iowa
71
  
16
0
55
1,694,382
48.07 %
 
45
 
Kansas
69
  
20
2
47
1,444,937
43.65 %
 
39
 
Missouri
116
  
11
16
89
3,129,902
21.33 %
 
153
 
Nebraska
84
  
5
0
79
1,038,994
50.82 %
 
26
 
Region VIII
352
  
112
9
231
6,266,666
31.83 %
 
295
 
Colorado
91
  
11
4
76
2,084,535
28.25 %
 
91
 
Montana
81
  
23
4
54
553,052
23.29 %
 
68
 
North Dakota
55
  
31
0
24
394,135
39.11 %
 
19
 
South Dakota
63
  
29
0
34
661,123
14.26 %
 
35
 
Utah
39
  
13
1
25
2,012,634
47.62 %
 
57
 
Wyoming
23
  
5
0
18
561,187
31.46 %
 
25
 
Region IX
679
  
97
22
560
17,040,103
33.84 %
 
657
 
Arizona
103
  
6
0
97
6,362,085
20.94 %
 
240
 
California
468
  
62
21
385
6,486,018
33.99 %
 
260
 
Hawaii
29
  
9
1
19
317,911
75.23 %
 
5
 
Nevada
62
  
12
0
50
3,461,291
44.62 %
 
139
 
American Samoa
2
  
1
0
1
57,292
0.00 %
 
3
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
6
 
Guam
2
  
1
0
1
159,358
58.97 %
 
3
 
Marshall Islands
1
  
0
0
1
 
---
   
Northern Mariana Islands
2
  
1
0
1
69,221
86.96 %
 
0
 
Republic of Palau
2
  
1
0
1
19,907
0.00 %
 
1
 
Region X
381
  
100
15
266
8,191,578
26.95 %
 
325
 
Alaska
70
  
18
0
52
276,449
23.38 %
 
10
 
Idaho
63
  
7
1
55
1,700,834
37.36 %
 
45
 
Oregon
91
  
18
4
69
1,775,787
33.04 %
 
78
 
Washington
157
  
57
10
90
4,438,508
21.16 %
 
192
 
HRSA Data Warehouse
6 of 7
December 17, 2017
Data as of:
12/17/2017

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
December 17, 2017
Data as of:
12/17/2017