Designated
Health Professional Shortage Areas
Statistics






As of August 15, 2018



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 August 15, 2018
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
6,831
  
74,101,503
   
43.68 %
(4)
  
13,996
(7)
 
Undetermined
1
      
---
      
Geographic Area
1,283
  
30,133,080
   
57.07 %
   
4,023
  
Population Group
1,627
  
42,643,726
   
35.91 %
   
9,097
  
Facility
3,920
  
1,324,697
   
32.22 %
   
876
  
Dental HPSA Totals
5,654
  
55,281,652
   
29.72 %
(5)
  
10,069
(8)
 
Geographic Area
592
  
11,123,073
   
50.12 %
   
1,268
  
Population Group
1,702
  
42,400,279
   
25.05 %
   
7,951
  
Facility
3,360
  
1,758,300
   
27.36 %
   
850
  
Mental Health HPSA Totals
4,984
  
107,586,892
   
27.49 %
(6)
  
5,781
(9)
 
Undetermined
2
      
---
      
Geographic Area
1,029
  
76,665,955
   
31.69 %
   
3,281
  
Population Group
414
  
28,795,865
   
20.31 %
   
1,359
  
Facility
3,539
  
2,125,072
   
22.12 %
   
1,141
  
HRSA Data Warehouse
1 of 7
August 15, 2018
Data as of:
08/15/2018

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of August 15, 2018
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
6,831
    
74,101,503
   
13,996
  
Rural
 
4,051
 
59.30 %
  
21,758,383
   
3,807
  
Geographic Area
 
845
 
12.37 %
  
12,065,089
   
1,647
  
Population Group
 
873
 
12.78 %
  
9,022,062
   
1,725
  
Facility
 
2,333
 
34.15 %
  
671,232
   
435
  
Non-Rural
 
2,337
 
34.21 %
  
37,166,259
   
7,596
  
Undetermined
 
1
 
0.01 %
         
Geographic Area
 
238
 
3.48 %
  
11,693,059
   
1,605
  
Population Group
 
511
 
7.48 %
  
24,819,735
   
5,550
  
Facility
 
1,587
 
23.23 %
  
653,465
   
441
  
Partially Rural (11)
 
441
 
6.46 %
  
15,138,098
   
2,583
  
Geographic Area
 
198
 
2.90 %
  
6,336,169
   
761
  
Population Group
 
243
 
3.56 %
  
8,801,929
   
1,822
  
Unknown (12)
 
2
 
0.03 %
  
38,763
   
10
  
Geographic Area
 
2
 
0.03 %
  
38,763
   
10
  
Dental HPSA Totals
 
5,654
    
55,281,652
   
10,069
  
Rural
 
3,343
 
59.13 %
  
18,480,395
   
3,355
  
Geographic Area
 
460
 
8.14 %
  
6,379,290
   
756
  
Population Group
 
989
 
17.49 %
  
11,202,094
   
2,180
  
Facility
 
1,894
 
33.50 %
  
899,011
   
419
  
Non-Rural
 
1,979
 
35.00 %
  
25,248,944
   
4,668
  
Geographic Area
 
64
 
1.13 %
  
2,680,471
   
280
  
Population Group
 
451
 
7.98 %
  
21,709,184
   
3,957
  
Facility
 
1,464
 
25.89 %
  
859,289
   
431
  
Partially Rural
 
328
 
5.80 %
  
11,513,550
   
2,039
  
Geographic Area
 
66
 
1.17 %
  
2,024,549
   
225
  
Population Group
 
262
 
4.63 %
  
9,489,001
   
1,814
  
Unknown
 
4
 
0.07 %
  
38,763
   
7
  
Geographic Area
 
2
 
0.04 %
  
38,763
   
7
  
Facility
 
2
 
0.04 %
         
Mental Health HPSA Totals
 
4,984
    
107,586,892
   
5,781
  
Rural
 
2,664
 
53.45 %
  
25,622,637
   
1,724
  
Geographic Area
 
621
 
12.46 %
  
22,478,431
   
1,150
  
Population Group
 
98
 
1.97 %
  
2,110,980
   
140
  
Facility
 
1,945
 
39.02 %
  
1,033,226
   
434
  
Non-Rural
 
1,899
 
38.10 %
  
32,670,048
   
1,974
  
Undetermined
 
2
 
0.04 %
         
Geographic Area
 
129
 
2.59 %
  
16,863,670
   
630
  
Population Group
 
176
 
3.53 %
  
14,714,532
   
637
  
Facility
 
1,592
 
31.94 %
  
1,091,846
   
707
  
Partially Rural
 
416
 
8.35 %
  
49,053,963
   
2,068
  
Geographic Area
 
277
 
5.56 %
  
37,278,587
   
1,499
  
Population Group
 
139
 
2.79 %
  
11,775,376
   
569
  
Unknown
 
5
 
0.10 %
  
240,244
   
15
  
Geographic Area
 
2
 
0.04 %
  
45,267
   
2
  
Population Group
 
1
 
0.02 %
  
194,977
   
13
  
Facility
 
2
 
0.04 %
         
HRSA Data Warehouse
2 of 7
August 15, 2018
Data as of:
08/15/2018

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
August 15, 2018
Data as of:
08/15/2018

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of August 15, 2018
              
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
6,831
  
1,283
1,627
3,921
74,101,503
43.68 %
 
13,996
 
Region I
253
  
21
49
183
1,301,160
30.38 %
 
312
 
Connecticut
43
  
0
22
21
442,392
0.24 %
 
149
 
Maine
66
  
12
8
46
77,959
35.77 %
 
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
33
  
2
1
30
12,322
53.56 %
 
2
 
Region II
259
  
12
89
158
6,288,922
22.53 %
 
1,640
 
New Jersey
35
  
0
0
35
28,823
54.90 %
 
13
 
New York
180
  
9
72
99
4,462,511
29.78 %
 
1,044
 
Puerto Rico
39
  
0
17
22
1,690,470
1.92 %
 
554
 
U.S. Virgin Islands
5
  
3
0
2
107,118
18.86 %
 
29
 
Region III
467
  
80
108
279
4,112,689
47.65 %
 
760
 
Delaware
13
  
2
4
7
233,024
31.91 %
 
55
 
District of Columbia
15
  
3
3
9
248,519
27.16 %
 
64
 
Maryland
52
  
7
20
25
975,941
42.45 %
 
218
 
Pennsylvania
157
  
16
25
116
537,175
42.74 %
 
123
 
Virginia
109
  
46
17
46
1,502,270
61.51 %
 
184
 
West Virginia
121
  
6
39
76
615,760
44.83 %
 
116
 
Region IV
1,287
  
259
450
578
19,952,009
44.09 %
 
3,771
 
Alabama
105
  
37
27
41
2,074,195
55.92 %
 
305
 
Florida
263
  
15
112
136
5,834,065
22.06 %
 
1,576
 
Georgia
235
  
55
97
83
3,219,001
42.69 %
 
627
 
Kentucky
168
  
46
34
88
1,077,647
54.48 %
 
160
 
Mississippi
117
  
53
26
38
1,747,631
41.19 %
 
342
 
North Carolina
171
  
18
61
92
1,632,558
42.63 %
 
302
 
South Carolina
92
  
14
29
49
1,928,557
68.76 %
 
206
 
Tennessee
136
  
21
64
51
2,438,355
69.07 %
 
253
 
Region V
1,122
  
190
232
700
11,340,222
55.68 %
 
1,651
 
Illinois
224
  
40
75
109
3,272,973
53.50 %
 
494
 
Indiana
125
  
30
35
60
2,110,552
77.31 %
 
159
 
Michigan
365
  
25
58
282
3,002,100
42.52 %
 
573
 
Minnesota
123
  
29
20
74
446,556
46.01 %
 
79
 
Ohio
153
  
41
17
95
1,411,273
55.74 %
 
207
 
Wisconsin
132
  
25
27
80
1,096,768
60.52 %
 
139
 
Region VI
945
  
234
196
515
9,770,357
52.83 %
 
1,540
 
Arkansas
89
  
14
40
35
503,974
51.55 %
 
86
 
Louisiana
134
  
38
25
71
2,091,336
63.95 %
 
247
 
New Mexico
104
  
29
10
65
1,048,498
23.00 %
 
261
 
Oklahoma
182
  
13
62
107
1,272,049
56.27 %
 
195
 
Texas
436
  
140
59
237
4,854,500
53.60 %
 
751
 
Region VII
583
  
58
185
340
3,032,761
26.67 %
 
731
 
Iowa
123
  
27
28
68
605,485
54.24 %
 
88
 
Kansas
146
  
16
59
71
718,059
43.94 %
 
131
 
Missouri
207
  
8
98
101
1,697,303
10.06 %
 
509
 
Nebraska
107
  
7
0
100
11,914
22.45 %
 
3
 
Region VIII
496
  
160
95
241
2,627,517
44.00 %
 
482
 
Colorado
120
  
24
36
60
1,050,395
38.49 %
 
221
 
Montana
117
  
25
31
61
412,474
35.28 %
 
85
 
North Dakota
73
  
44
0
29
181,129
33.52 %
 
36
 
South Dakota
90
  
35
13
42
235,649
42.02 %
 
44
 
Utah
55
  
13
13
29
583,120
60.60 %
 
77
 
Wyoming
41
  
19
2
20
164,750
57.41 %
 
19
 
Region IX
948
  
201
129
618
11,959,847
42.32 %
 
2,331
 
Arizona
188
  
53
34
101
2,887,048
39.48 %
 
597
 
California
633
  
120
80
433
7,479,513
43.36 %
 
1,428
 
Hawaii
27
  
4
2
21
183,754
72.90 %
 
14
 
Nevada
81
  
16
12
53
946,788
47.55 %
 
170
 
American Samoa
2
  
1
0
1
55,009
5.45 %
 
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
3
  
1
0
2
53,366
72.13 %
 
4
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
4
 
Region X
471
  
68
94
309
3,716,019
34.97 %
 
778
 
Alaska
84
  
15
0
69
104,982
24.60 %
 
26
 
Idaho
99
  
14
29
56
489,987
49.30 %
 
81
 
Oregon
125
  
12
33
80
910,860
50.50 %
 
153
 
Washington
163
  
27
32
104
2,210,190
25.21 %
 
518
 
HRSA Data Warehouse
4 of 7
August 15, 2018
Data as of:
08/15/2018

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of August 15, 2018
              
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
5,654
  
592
1,702
3,360
55,281,652
29.72 %
 
10,069
 
Region I
237
  
18
52
167
1,275,874
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
30,353
40.40 %
 
5
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
29
  
2
1
26
29,428
53.66 %
 
2
 
Region II
210
  
6
36
168
2,487,360
23.99 %
 
515
 
New Jersey
40
  
0
0
40
45,705
25.96 %
 
23
 
New York
141
  
2
36
103
2,324,001
23.20 %
 
473
 
Puerto Rico
24
  
1
0
23
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
104,495
42.11 %
 
15
 
Region III
435
  
43
154
238
5,242,803
36.51 %
 
860
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
83,820
9.30 %
 
20
 
Maryland
46
  
10
16
20
927,014
19.02 %
 
175
 
Pennsylvania
163
  
2
56
105
2,021,477
46.20 %
 
298
 
Virginia
91
  
22
37
32
1,294,150
43.54 %
 
176
 
West Virginia
114
  
9
40
65
738,218
28.41 %
 
141
 
Region IV
1,112
  
139
469
504
18,098,004
24.71 %
 
3,501
 
Alabama
64
  
0
43
21
1,792,743
20.37 %
 
357
 
Florida
232
  
2
106
124
5,360,761
13.43 %
 
1,217
 
Georgia
194
  
41
82
71
2,070,562
22.78 %
 
420
 
Kentucky
122
  
14
30
78
620,601
49.12 %
 
76
 
Mississippi
110
  
56
23
31
1,797,630
45.96 %
 
246
 
North Carolina
160
  
3
74
83
2,443,941
19.12 %
 
510
 
South Carolina
85
  
20
18
47
1,656,370
40.57 %
 
251
 
Tennessee
145
  
3
93
49
2,355,396
28.74 %
 
424
 
Region V
949
  
18
366
565
8,717,284
29.01 %
 
1,594
 
Illinois
160
  
4
73
83
2,318,984
42.01 %
 
342
 
Indiana
83
  
2
40
41
1,114,207
29.61 %
 
206
 
Michigan
309
  
1
81
227
1,597,459
5.50 %
 
391
 
Minnesota
124
  
9
56
59
710,321
15.95 %
 
151
 
Ohio
144
  
2
67
75
1,764,676
32.82 %
 
300
 
Wisconsin
129
  
0
49
80
1,211,637
36.33 %
 
204
 
Region VI
735
  
146
152
437
6,233,761
42.91 %
 
957
 
Arkansas
84
  
8
50
26
648,937
36.02 %
 
105
 
Louisiana
117
  
33
21
63
1,892,833
54.20 %
 
223
 
New Mexico
82
  
21
16
45
891,071
21.44 %
 
174
 
Oklahoma
161
  
6
57
98
883,875
35.20 %
 
162
 
Texas
291
  
78
8
205
1,917,045
47.21 %
 
293
 
Region VII
488
  
41
188
259
2,762,803
18.59 %
 
556
 
Iowa
112
  
8
48
56
427,854
34.88 %
 
74
 
Kansas
123
  
22
54
47
594,586
24.49 %
 
103
 
Missouri
173
  
11
84
78
1,737,321
12.44 %
 
379
 
Nebraska
80
  
0
2
78
3,042
60.53 %
 
0
 
Region VIII
367
  
78
88
201
2,017,046
44.42 %
 
281
 
Colorado
98
  
20
28
50
781,523
40.74 %
 
119
 
Montana
90
  
9
25
56
279,446
28.79 %
 
51
 
North Dakota
41
  
22
0
19
96,632
34.38 %
 
12
 
South Dakota
60
  
18
11
31
136,485
27.60 %
 
25
 
Utah
50
  
5
20
25
673,310
59.06 %
 
69
 
Wyoming
28
  
4
4
20
49,650
51.72 %
 
5
 
Region IX
730
  
68
102
560
4,775,654
30.05 %
 
919
 
Arizona
183
  
38
47
98
2,454,477
30.92 %
 
455
 
California
436
  
14
38
384
1,148,884
31.48 %
 
243
 
Hawaii
22
  
1
1
20
40,313
36.09 %
 
7
 
Nevada
71
  
7
16
48
878,026
33.10 %
 
152
 
American Samoa
2
  
1
0
1
55,009
0.00 %
 
14
 
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
3
  
1
0
2
53,366
0.00 %
 
11
 
Republic of Palau
2
  
1
0
1
10,762
0.00 %
 
3
 
Region X
391
  
35
95
261
3,671,063
24.20 %
 
670
 
Alaska
69
  
13
0
56
114,979
31.68 %
 
18
 
Idaho
95
  
6
36
53
498,559
45.25 %
 
67
 
Oregon
105
  
1
36
68
1,134,788
20.37 %
 
229
 
Washington
122
  
15
23
84
1,922,737
20.33 %
 
356
 
HRSA Data Warehouse
5 of 7
August 15, 2018
Data as of:
08/15/2018

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of August 15, 2018
              
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
4,984
  
1,029
414
3,541
107,586,892
27.49 %
 
5,781
 
Region I
201
  
21
11
169
2,176,268
29.38 %
 
145
 
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
67.86 %
 
10
 
Vermont
24
  
0
0
24
 
---
   
Region II
247
  
14
54
179
5,389,045
24.77 %
 
269
 
New Jersey
38
  
0
0
38
32,755
71.51 %
 
4
 
New York
162
  
10
43
109
3,799,830
19.30 %
 
205
 
Puerto Rico
42
  
1
11
30
1,451,959
21.04 %
 
51
 
U.S. Virgin Islands
5
  
3
0
2
104,501
60.95 %
 
9
 
Region III
399
  
59
58
282
6,157,730
31.12 %
 
440
 
Delaware
14
  
0
1
13
88,323
7.77 %
 
15
 
District of Columbia
10
  
1
0
9
133,945
5.31 %
 
28
 
Maryland
54
  
9
13
32
1,357,987
29.46 %
 
87
 
Pennsylvania
122
  
23
1
98
1,660,052
35.13 %
 
103
 
Virginia
82
  
17
8
57
2,198,199
39.65 %
 
119
 
West Virginia
117
  
9
35
73
719,224
22.69 %
 
88
 
Region IV
783
  
129
137
517
26,918,219
27.10 %
 
1,537
 
Alabama
53
  
14
7
32
2,918,305
24.81 %
 
154
 
Florida
177
  
17
41
119
6,270,751
25.49 %
 
235
 
Georgia
99
  
18
8
73
4,844,703
43.19 %
 
177
 
Kentucky
105
  
23
5
77
2,160,036
37.31 %
 
85
 
Mississippi
47
  
13
0
34
2,386,085
24.38 %
 
368
 
North Carolina
162
  
24
51
87
2,519,490
17.72 %
 
114
 
South Carolina
69
  
10
11
48
2,418,422
39.12 %
 
101
 
Tennessee
71
  
10
14
47
3,400,427
13.45 %
 
303
 
Region V
786
  
176
23
587
18,909,843
27.61 %
 
975
 
Illinois
122
  
32
4
86
4,878,923
26.55 %
 
209
 
Indiana
76
  
22
0
54
3,738,068
36.38 %
 
147
 
Minnesota
67
  
9
0
58
1,999,105
36.47 %
 
68
 
Michigan
275
  
47
11
217
3,990,893
23.94 %
 
201
 
Ohio
114
  
19
7
88
2,235,622
31.20 %
 
109
 
Wisconsin
132
  
47
1
84
2,067,232
20.00 %
 
241
 
Region VI
773
  
275
36
462
16,415,140
30.85 %
 
825
 
Arkansas
47
  
5
10
32
1,266,192
41.68 %
 
43
 
Louisiana
125
  
51
11
63
3,143,641
21.96 %
 
162
 
New Mexico
71
  
16
2
53
1,251,275
12.30 %
 
75
 
Oklahoma
118
  
4
9
105
1,556,744
20.65 %
 
95
 
Texas
412
  
199
4
209
9,197,288
36.22 %
 
450
 
Region VII
335
  
42
22
271
6,000,772
28.72 %
 
255
 
Iowa
71
  
15
0
56
1,608,923
44.05 %
 
44
 
Kansas
70
  
19
2
49
1,387,913
42.31 %
 
38
 
Missouri
110
  
3
20
87
1,964,942
9.24 %
 
147
 
Nebraska
84
  
5
0
79
1,038,994
50.82 %
 
26
 
Region VIII
335
  
90
14
231
6,170,253
27.69 %
 
308
 
Colorado
89
  
11
5
73
2,171,476
29.08 %
 
95
 
Montana
82
  
21
7
54
602,361
13.48 %
 
70
 
North Dakota
51
  
26
0
25
291,463
18.75 %
 
20
 
South Dakota
50
  
14
1
35
455,909
8.52 %
 
35
 
Utah
39
  
13
1
25
2,087,857
43.65 %
 
63
 
Wyoming
24
  
5
0
19
561,187
31.46 %
 
25
 
Region IX
764
  
150
45
569
13,558,172
25.55 %
 
729
 
Arizona
176
  
64
15
97
2,968,874
7.95 %
 
235
 
California
483
  
64
28
391
7,632,524
34.55 %
 
314
 
Hawaii
26
  
4
1
21
52,022
3.98 %
 
3
 
Nevada
59
  
8
1
50
2,446,172
28.63 %
 
148
 
American Samoa
2
  
1
0
1
55,009
0.00 %
 
12
 
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
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
361
  
73
14
274
5,891,450
17.30 %
 
298
 
Alaska
75
  
18
0
57
276,449
19.39 %
 
10
 
Idaho
62
  
6
1
55
1,276,767
26.52 %
 
42
 
Oregon
92
  
14
7
71
1,499,312
23.58 %
 
80
 
Washington
132
  
35
6
91
2,838,922
10.48 %
 
166
 
HRSA Data Warehouse
6 of 7
August 15, 2018
Data as of:
08/15/2018

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
August 15, 2018
Data as of:
08/15/2018