Designated
Health Professional Shortage Areas
Statistics






As of December 12, 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 December 12, 2018
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
6,964
  
77,491,813
   
43.66 %
(4)
  
14,642
(7)
 
Geographic Area
1,312
  
31,282,988
   
57.72 %
   
4,108
  
Population Group
1,687
  
44,806,199
   
35.69 %
   
9,590
  
Facility
3,965
  
1,402,626
   
31.13 %
   
944
  
Dental Health HPSA Totals
5,793
  
57,463,745
   
29.42 %
(5)
  
10,528
(8)
 
Geographic Area
596
  
11,298,596
   
50.37 %
   
1,279
  
Population Group
1,781
  
44,295,972
   
24.76 %
   
8,339
  
Facility
3,416
  
1,869,177
   
27.07 %
   
910
  
Mental Health HPSA Totals
5,089
  
114,282,696
   
25.68 %
(6)
  
6,820
(9)
 
Geographic Area
1,044
  
79,109,636
   
30.20 %
   
3,636
  
Population Group
443
  
33,010,553
   
17.52 %
   
2,004
  
Facility
3,602
  
2,162,507
   
23.33 %
   
1,180
  
HRSA Data Warehouse
1 of 7
December 12, 2018
Data as of:
12/12/2018

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of December 12, 2018
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
6,964
    
77,491,813
   
14,642
  
Rural
 
4,114
 
59.08 %
  
22,487,604
   
3,856
  
Geographic Area
 
862
 
12.38 %
  
12,521,293
   
1,653
  
Population Group
 
898
 
12.89 %
  
9,291,175
   
1,764
  
Facility
 
2,354
 
33.80 %
  
675,136
   
439
  
Non-Rural
 
2,392
 
34.35 %
  
39,222,090
   
8,120
  
Geographic Area
 
241
 
3.46 %
  
11,914,116
   
1,645
  
Population Group
 
540
 
7.75 %
  
26,580,484
   
5,970
  
Facility
 
1,611
 
23.13 %
  
727,490
   
505
  
Partially Rural (11)
 
454
 
6.52 %
  
15,740,006
   
2,655
  
Geographic Area
 
205
 
2.94 %
  
6,805,466
   
799
  
Population Group
 
249
 
3.58 %
  
8,934,540
   
1,856
  
Unknown (12)
 
4
 
0.06 %
  
42,113
   
11
  
Geographic Area
 
4
 
0.06 %
  
42,113
   
11
  
Dental Health HPSA Totals
 
5,793
    
57,463,745
   
10,528
  
Rural
 
3,431
 
59.23 %
  
19,253,347
   
3,511
  
Geographic Area
 
461
 
7.96 %
  
6,413,077
   
762
  
Population Group
 
1,043
 
18.00 %
  
11,921,011
   
2,325
  
Facility
 
1,927
 
33.26 %
  
919,259
   
424
  
Non-Rural
 
2,020
 
34.87 %
  
26,331,486
   
4,911
  
Geographic Area
 
66
 
1.14 %
  
2,813,651
   
284
  
Population Group
 
465
 
8.03 %
  
22,567,917
   
4,141
  
Facility
 
1,489
 
25.70 %
  
949,918
   
486
  
Partially Rural
 
337
 
5.82 %
  
11,805,236
   
2,093
  
Geographic Area
 
66
 
1.14 %
  
2,024,549
   
225
  
Population Group
 
271
 
4.68 %
  
9,780,687
   
1,868
  
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
 
5,089
    
114,282,696
   
6,820
  
Rural
 
2,709
 
53.23 %
  
25,898,713
   
1,880
  
Geographic Area
 
624
 
12.26 %
  
22,545,601
   
1,263
  
Population Group
 
105
 
2.06 %
  
2,346,233
   
179
  
Facility
 
1,980
 
38.91 %
  
1,006,879
   
438
  
Non-Rural
 
1,944
 
38.20 %
  
37,140,498
   
2,479
  
Geographic Area
 
133
 
2.61 %
  
18,180,875
   
698
  
Population Group
 
189
 
3.71 %
  
17,803,995
   
1,039
  
Facility
 
1,622
 
31.87 %
  
1,155,628
   
742
  
Partially Rural
 
433
 
8.51 %
  
51,003,241
   
2,446
  
Geographic Area
 
285
 
5.60 %
  
38,337,893
   
1,673
  
Population Group
 
148
 
2.91 %
  
12,665,348
   
773
  
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
December 12, 2018
Data as of:
12/12/2018

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
December 12, 2018
Data as of:
12/12/2018

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of December 12, 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
6,964
  
1,312
1,687
3,965
77,491,813
43.66 %
 
14,642
 
Region I
253
  
21
49
183
1,302,396
30.45 %
 
312
 
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
33
  
2
1
30
12,322
53.56 %
 
2
 
Region II
266
  
12
96
158
7,258,323
21.70 %
 
1,910
 
New Jersey
35
  
0
0
35
28,823
54.90 %
 
13
 
New York
187
  
9
79
99
5,431,912
27.37 %
 
1,314
 
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
477
  
82
113
282
4,297,095
47.91 %
 
789
 
Delaware
15
  
2
4
9
237,967
32.40 %
 
58
 
District of Columbia
15
  
3
3
9
247,613
27.86 %
 
63
 
Maryland
56
  
7
24
25
1,063,519
43.12 %
 
231
 
Pennsylvania
158
  
16
25
117
539,557
43.19 %
 
123
 
Virginia
111
  
48
17
46
1,580,206
61.19 %
 
195
 
West Virginia
122
  
6
40
76
628,233
44.81 %
 
119
 
Region IV
1,332
  
272
464
596
20,906,846
44.53 %
 
3,920
 
Alabama
116
  
43
28
45
2,409,804
57.75 %
 
342
 
Florida
275
  
17
120
138
6,133,919
22.09 %
 
1,658
 
Georgia
235
  
55
97
83
3,217,771
42.70 %
 
627
 
Kentucky
175
  
48
38
89
1,131,223
54.71 %
 
166
 
Mississippi
117
  
53
26
38
1,746,844
41.16 %
 
341
 
North Carolina
182
  
20
62
100
1,873,279
46.04 %
 
323
 
South Carolina
92
  
14
29
49
1,928,557
68.76 %
 
206
 
Tennessee
140
  
22
64
54
2,465,449
69.04 %
 
257
 
Region V
1,132
  
190
236
706
11,489,468
55.28 %
 
1,687
 
Illinois
228
  
40
75
113
3,266,640
53.65 %
 
493
 
Indiana
128
  
30
35
63
2,118,245
76.79 %
 
164
 
Michigan
365
  
25
60
280
3,086,733
41.88 %
 
595
 
Minnesota
123
  
29
20
74
445,707
46.42 %
 
78
 
Ohio
155
  
41
18
96
1,423,616
55.69 %
 
204
 
Wisconsin
133
  
25
28
80
1,148,527
58.96 %
 
153
 
Region VI
973
  
241
207
525
10,259,272
52.96 %
 
1,614
 
Arkansas
89
  
14
40
35
503,091
50.92 %
 
87
 
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
1,275,731
57.07 %
 
194
 
Texas
456
  
144
67
245
5,162,332
52.68 %
 
817
 
Region VII
591
  
62
188
341
3,148,086
27.67 %
 
750
 
Iowa
126
  
28
29
69
626,221
54.69 %
 
92
 
Kansas
153
  
18
61
74
810,770
44.97 %
 
145
 
Missouri
207
  
8
98
101
1,697,303
10.06 %
 
509
 
Nebraska
105
  
8
0
97
13,792
20.40 %
 
4
 
Region VIII
504
  
162
100
242
2,849,759
42.62 %
 
550
 
Colorado
120
  
24
36
60
1,085,993
34.23 %
 
260
 
Montana
117
  
25
31
61
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
57
  
15
13
29
744,682
59.87 %
 
100
 
Wyoming
43
  
19
4
20
181,941
54.13 %
 
23
 
Region IX
964
  
202
140
622
12,265,515
43.32 %
 
2,337
 
Arizona
195
  
53
40
102
2,979,651
41.09 %
 
591
 
California
641
  
121
84
436
7,700,319
43.29 %
 
1,469
 
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
472
  
68
94
310
3,715,053
35.22 %
 
773
 
Alaska
84
  
15
0
69
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
2,210,190
25.21 %
 
518
 
HRSA Data Warehouse
4 of 7
December 12, 2018
Data as of:
12/12/2018

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of December 12, 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
5,793
  
596
1,781
3,416
57,463,745
29.42 %
 
10,528
 
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
2,487,060
24.00 %
 
514
 
New Jersey
40
  
0
0
40
45,705
25.96 %
 
23
 
New York
141
  
2
36
103
2,323,701
23.20 %
 
472
 
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
444
  
44
158
242
5,359,398
36.17 %
 
883
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
82,914
2.41 %
 
21
 
Maryland
50
  
11
19
20
1,032,446
18.40 %
 
196
 
Pennsylvania
166
  
2
56
108
2,024,174
46.76 %
 
297
 
Virginia
92
  
22
38
32
1,303,522
43.21 %
 
178
 
West Virginia
115
  
9
40
66
738,218
28.41 %
 
141
 
Region IV
1,139
  
140
474
525
18,337,494
24.45 %
 
3,577
 
Alabama
74
  
0
43
31
1,827,739
20.59 %
 
375
 
Florida
237
  
3
109
125
5,484,857
13.01 %
 
1,252
 
Georgia
196
  
41
83
72
2,076,612
22.87 %
 
421
 
Kentucky
124
  
14
30
80
620,601
49.12 %
 
76
 
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
148
  
3
93
52
2,364,322
28.96 %
 
427
 
Region V
1,012
  
18
414
580
9,809,354
27.26 %
 
1,841
 
Illinois
169
  
4
78
87
2,382,945
41.54 %
 
356
 
Indiana
95
  
2
47
46
1,228,417
30.21 %
 
228
 
Michigan
344
  
1
116
227
2,470,751
5.56 %
 
599
 
Minnesota
124
  
9
56
59
710,585
15.60 %
 
152
 
Ohio
151
  
2
68
81
1,805,019
34.15 %
 
302
 
Wisconsin
129
  
0
49
80
1,211,637
36.33 %
 
204
 
Region VI
750
  
147
156
447
6,523,941
43.19 %
 
994
 
Arkansas
84
  
8
50
26
648,937
36.02 %
 
105
 
Louisiana
123
  
34
25
64
2,165,649
54.76 %
 
248
 
New Mexico
83
  
21
16
46
891,071
21.44 %
 
174
 
Oklahoma
163
  
6
57
100
892,752
35.20 %
 
167
 
Texas
297
  
78
8
211
1,925,532
46.32 %
 
300
 
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
376
  
79
95
202
2,178,917
42.33 %
 
324
 
Colorado
99
  
20
29
50
863,797
36.76 %
 
147
 
Montana
97
  
10
31
56
351,605
31.58 %
 
62
 
North Dakota
41
  
22
0
19
96,632
34.38 %
 
12
 
South Dakota
61
  
18
11
32
143,923
27.12 %
 
29
 
Utah
50
  
5
20
25
673,310
59.06 %
 
69
 
Wyoming
28
  
4
4
20
49,650
51.72 %
 
5
 
Region IX
738
  
68
107
563
4,956,438
30.50 %
 
938
 
Arizona
184
  
38
48
98
2,442,198
31.84 %
 
441
 
California
441
  
14
40
387
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
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
393
  
35
95
263
3,671,287
24.24 %
 
670
 
Alaska
69
  
13
0
56
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
1,922,737
20.33 %
 
356
 
HRSA Data Warehouse
5 of 7
December 12, 2018
Data as of:
12/12/2018

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of December 12, 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
5,089
  
1,044
443
3,602
114,282,696
25.68 %
 
6,820
 
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
272
  
14
60
198
6,186,032
18.86 %
 
420
 
New Jersey
38
  
0
0
38
32,755
71.51 %
 
4
 
New York
185
  
10
47
128
4,382,777
15.23 %
 
307
 
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
404
  
60
59
285
6,294,194
29.14 %
 
495
 
Delaware
15
  
0
1
14
94,481
6.52 %
 
18
 
District of Columbia
10
  
1
0
9
133,945
5.31 %
 
28
 
Maryland
56
  
10
14
32
1,473,890
28.19 %
 
93
 
Pennsylvania
124
  
23
1
100
1,673,167
35.36 %
 
107
 
Virginia
82
  
17
8
57
2,199,487
39.82 %
 
119
 
West Virginia
117
  
9
35
73
719,224
16.83 %
 
130
 
Region IV
800
  
129
137
534
26,930,653
22.96 %
 
1,866
 
Alabama
57
  
14
7
36
2,932,221
24.03 %
 
159
 
Florida
182
  
17
41
124
6,280,330
16.13 %
 
409
 
Georgia
99
  
18
8
73
4,834,543
38.05 %
 
199
 
Kentucky
107
  
23
5
79
2,160,036
29.59 %
 
120
 
Mississippi
47
  
13
0
34
2,381,982
24.49 %
 
366
 
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
804
  
180
30
594
19,515,052
27.11 %
 
1,043
 
Illinois
127
  
32
4
91
4,870,897
25.51 %
 
218
 
Indiana
77
  
22
0
55
3,738,068
34.74 %
 
159
 
Minnesota
67
  
9
0
58
2,000,050
33.27 %
 
79
 
Michigan
278
  
48
13
217
4,132,859
23.94 %
 
212
 
Ohio
120
  
20
11
89
2,579,009
34.25 %
 
121
 
Wisconsin
135
  
49
2
84
2,194,169
18.95 %
 
254
 
Region VI
795
  
282
43
470
19,630,484
30.27 %
 
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
1,560,255
22.77 %
 
95
 
Texas
429
  
203
11
215
12,094,734
34.50 %
 
586
 
Region VII
333
  
42
22
269
5,985,690
24.53 %
 
305
 
Iowa
72
  
15
0
57
1,610,233
39.24 %
 
53
 
Kansas
70
  
19
2
49
1,387,508
31.58 %
 
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
340
  
91
17
232
7,742,126
32.37 %
 
384
 
Colorado
92
  
11
8
73
2,665,498
30.15 %
 
131
 
Montana
82
  
21
7
54
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
40
  
14
1
25
3,165,372
50.20 %
 
94
 
Wyoming
24
  
5
0
19
561,187
31.46 %
 
25
 
Region IX
775
  
151
50
574
13,934,385
24.42 %
 
851
 
Arizona
177
  
64
15
98
2,945,871
8.91 %
 
221
 
California
491
  
64
31
396
7,814,112
30.49 %
 
424
 
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
365
  
74
14
277
5,887,812
16.74 %
 
313
 
Alaska
75
  
18
0
57
276,673
22.98 %
 
10
 
Idaho
62
  
6
1
55
1,276,877
21.13 %
 
57
 
Oregon
94
  
15
7
72
1,495,340
23.45 %
 
80
 
Washington
134
  
35
6
93
2,838,922
10.48 %
 
166
 
HRSA Data Warehouse
6 of 7
December 12, 2018
Data as of:
12/12/2018

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
December 12, 2018
Data as of:
12/12/2018