AHEC Annual Report 2016

FY 2016

Annual Report

Georgia Statewide

Mission Statement Support the recruitment, training and retention of a diverse health professions workforce throughout Georgia.

RECRUIT Educate community members about health career choices and recruit future health professionals TRAIN Facilitate student community-based clinical training experiences RETAIN Provide resources that assist and support health care professionals

1

In the next 8 seconds, 34 babies will be born. I wonder what kind of world these newborns will face as they age. Will they have fulfilling careers? Will they be healthy?

Will their social skills be zip because they have interacted via social media their entire lives? Will they be able to forge human connections and find friends and perhaps a soulmate? Will they live in a time of feast or a time of war?

For those of us in the health care trenches, these are more than rhetorical questions.

They speak to knowledge that we currently have, but perhaps are not employing effectively. For example, we know that overuse of social media formats stunts verbal communication skills, yet what are we doing with this knowledge? We know that healthy people lead happier lives- yet what are we doing to make our youth healthier?

Denise D. Kornegay, MSW Georgia Statewide AHEC Network Executive Director

It all comes down to choices. As someone once said, “You can’t fix stupid and you can’t buy courage.” But you CAN fix ignorance and you can support bravery. People are making bad choices, and it is up to us to insure these choices are not made in ignorance of facts and knowledge. If they choose to ignore information, then the onus is on them. But we have to share the knowledge we have gained so that choices can be made with all available information. What happens after that is on the individual.

This is a seminal time in our country. We have the best healthcare knowledge and skills in the world, but we have not found a system acceptable to the American people wherein to deliver health care effectively. We are making healthcare decisions based on politics rather than on data and knowledge. We are empowering those outside of the health care professions to make clinical decisions and to override decisions of physicians and other trained healthcare providers. What are we doing? We need to get this right and we need to do it now. The health of our citizens, ourselves, and our state are at risk if we do not demonstrate leadership and decisiveness.

From the AHEC perspective, we are continually challenged by under-resourced secondary schools across the state, communities with so many needs that it is hard to determine priorities, clinicians who are over worked and under compensated, families that want to make a change but are chained by medical costs beyond their means.

But we continue to work and to thrive and along the way, measurable changes are occurring. Many are reflected in this annual report.

Executive Director’s Report

2016 has been an amazing journey. Our two new AHEC Center Directors have found their strides and are providing strong leadership in their areas of the state. Laura Calhoun, Center Director of the SOWEGA AHEC, and Matt Caseman, Center Director of the Blue Ridge AHEC, have added greatly to the leadership and stability of the Statewide AHEC Network. Alas, we have another Center Director retiring in December 2016, Mary Kate Pung from our Magnolia Coastlands AHEC. She has provided steady and focused programming in southeast Georgia for 20 years. Her unique perspectives and rich life experiences helped build the AHEC Network in Georgia, and we are forever in her debt.

To all of you working in the trenches, in the lecture halls, in the legislative chambers, we salute you. Together, eventually, we will figure this out and have the healthcare system in our state that our citizens deserve. I anticipate with pleasure every partnership and collaboration that we will forge to make this happen. And from the AHECs, I pledge a 100% commitment to solving Georgia’s healthcare challenges.

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Georgia Statewide AHEC Network

FY 2016

(July 2015 – June 2016)

36,908 Participants

MISSION - Support the recruitment, training and retention of a diverse health professions workforce throughout Georgia.

RECRUIT – educate community members about health career choices and recruit future health professionals.

TRAIN – Facilitate community-based clinical training experiences.

RETAIN – Provide resources that assist and support health care professionals.

(June

RECRUIT:

RETAIN:

expose students to health careers and develop intent to pursue post-secondary education in primary healthcare professions.

26,525

total participants in 604 regional AHEC activities and programs

4,422

788

continuing education participants

participants in Intensive Health Careers Programs (20+ hours)

TRAIN:

improves readiness, willingness, and ability of health professions trainees to serve in primary care, and rural and underserved community settings.

address key issues in health professional shortage areas by providing health professionals with access to resources that support practice, reduce professional isolation, disseminate best practices, and improve quality of healthcare for medically underserved communities and health disparities populations.

Provided 17,330 CME/CEU credit hours

facilitated

4,302 total student rotations

58%

47%

indicated hours were necessary to meet clinical licensure requirements

Clinical training rotations provided in a Primary Care Setting

2,471

total health professions students with 683,902 hours of community-based clinical education/ training 



42%

2,158 medical rotations 2,144 associated health professions rotations

Clinical training rotations provided in a Non-Primary Care Setting

Partnered with 1,263 professionals who served as clinical preceptors for students matriculating at educational institutions (located in and outside Georgia).

Supported Travel and Housing for 3,222 rotations

Provided health careers, clinical training, or continuing education services to 12,675 minority students, residents, trainees, or practicing health professionals.

368 AHEC supported health professions students completed their educational programs and returned to practice within the supporting AHEC region this year.

Program Office: 1120 15th Street, Augusta, GA 30912 phone: 706-721-8331 . fax: 706-721-8508 http://www.augusta.edu/ahec/ *Data may vary due to data conversion.

3

Program Office Initiatives AHEC Primary Care Summit In early 2008, the AHEC Network began studying closely the issue of primary care workforce shortages in Georgia. In November of that year we hosted our first Primary Care Summit. Early on it was apparent that the topic itself was quite broad and that our efforts would be more effective if we focused on one component of the primary care workforce. We elected to first focus on the medical profession. Thus we honed the mission of our Summit(s) to: “Develop Strategies to meet the primary care physician workforce needs for the citizens of Georgia by 2020.”

In 2011, the decision was made to make the Primary Care Summit an annual event and address the broad issues impacting primary care physician shortages. The Statewide AHEC accepted the role of convener of partners committed to addressing the state’s primary care physician workforce challenges. The Summits are interactive and participants work in small groups. The small groups work to identify recommendations by each phase of the medical education pipeline.

The recommendations are prioritized. Each breakout group is asked to discuss and explore the recommendations and decide whether to keep, delete or modify the recommendation.

The Medical Education Pipeline

PHASE 1

K-12 Education

PHASE 2

PHASE 3

Undergraduate / Medical School College Years

PHASE 4 GME / Residency Training

A follow up meeting is held after each summit to discuss the priority recommendations. White papers are written to define the recommendations. Meetings are held and presentations made to House and Senate committees, legislators, budget staff, medical schools and multiple stakeholders to share information on the priority recommendations to move the recommendations forward. The next Primary Care Summit is scheduled for April 19, 2017.

4

Stakeholder Participant Profile Medical Schools GME Programs State Agencies Professional Associations State Legislative Branch Non Profits Other AHEC Center Staff AHEC Program Office PA Programs ARPN Programs

2008

2011

2012

2013

2014

2015

2016

19

14

16

18

24

21

11

0

10

7

25

17

19

14

5

9

7

7

9

5

6

0

8

7

7

7

8

10

1

2

4

3

2

1

2

1

1

4

4

2

4

1

3

11

9

12

8

5

2

14

15

13

17

14

14

17

4

5

7

6

5

6

6

-

-

-

-

-

-

3

-

-

-

-

-

-

5

GEORGIA STATEWIDE AHEC PRECEPTOR TAX INCENTIVE PROGRAM (PTIP) In its first full year (2015) of operation, 244 community based preceptors qualified to receive deductions and received tax letters. From the data reported by the programs, 315 preceptors were eligible to receive deductions but at least 71 preceptors did not register with the program. There were 23 of 25 eligible academic programs who provided rotation and training hour reports. Two advanced practice nursing (APRN) / nurse practitioner programs did not submit data. A total of $1,517,000 in deductions have been certified by the Statewide AHEC for 2015 state income tax filings. In total, 634 preceptors have registered for the program.

Based on the preliminary data, 67% of the deductions were earned and awarded for MD/DO student support. APRN /Nurse practitioner students accounted for 17% while PA students accounted for 16%.

Many other AHECs have requested intensive technical assistance and training to launch similar programs in their own states (e.g., Colorado, Maryland, Indiana, Oregon, Michigan, Kentucky, South Carolina, Virginia, Ohio, Hawaii, and Pennsylvania). The National AHEC Organization, AMA, AAMC, and the National Rural Health Association have requested technical assistance and/or presentations for their members on the PTIP concept and implementation. In 2016, two additional states successfully passed PTIP legislation, creating tax credits for eligible preceptors in their states (Maryland and Colorado). Kentucky and South Carolina introduced legislation this year but these remain as pending items in their legislatures.

5

Georgia Rural Medical Scholars Program (GRMS) The Georgia Rural Medical Scholars Program (GRMSP) was established in Washington County, Georgia in 2010. This program was established through a partnership between Washington County, the Georgia Statewide Area Health Education Center (AHEC) Network, and the University of Georgia’s Archway Partnership: Health. The program was established to provide medical students multiple training opportunities for their required 3rd and 4th year clinical rotations in the same community, in addition to exposing them to the quality of life in rural Georgia. Through the Georgia Rural Medical Scholar Program students have the opportunity to learn under practicing physicians of the highest caliber and interact with the entire community. Currently medical students from Mercer University School of Medicine and the Medical College of Georgia at Augusta University are participating in the program. Students are completing primary care rotations in Family Medicine, Internal Medicine, Pediatrics, Surgery and Community Medicine. The GRMSP is a community driven program with an emphasis on “growing their own” medical professionals. The GRMSP has an Executive Director in Sandersville who oversees the daily operations of the program and a 12 member Board of Directors.

There are a number of community volunteers that assist with the social integration aspect of the program to ensure that students fully experience an enriching professional and social life in rural Georgia.

In 2015 the GRMSP had its first success story. Caitlin Collier completed rotations in Sandersville while a medical student at Mercer University. She was a champion for the program and helped to recruit more Mercer medical students to complete rotations in Sandersville. After completing a residency in family medicine in Anderson, South Carolina, Dr. Caitlin Collier has returned to Sandersville to begin her career with Washington County Internal Medicine Group working with the very physician that precepted her as a medical student, Dr. Jean Sumner.

GRMS Program student rotations to date: Academic Year Family Medicine Internal Pediatrics Medicine 2010-2011 2011-2012

Medicine

5 2

2012-2013 2013-2014

Surgery

2

2

3

1

6

2

2

2014-2015

1

2015-2016

2

Community

2

1 1

6

2 2

AHEC / GA PCOM Anchor The Anchor program was created in collaboration with the GA Campus-Philadelphia College of Osteopathic Medicine (PCOM), local hospitals and local health care providers in the Three Rivers AHEC region. The mission of the program is to: “Build a Healthcare Workforce for Georgia with focus on primary care and rural/underserved communities.� In June of 2009 the inaugural 3rd year Anchor class (12 students) began clinical training in rotations which were scheduled in community-based training sites in Columbus and LaGrange. Since 2009 the Anchor has grown and expanded into the Magnolia Coastlands AHEC, SOWEGA AHEC and the Blue Ridge AHEC. Medical students chose Anchor because they get to stay in one city/region for the majority of their 3rd year rotations, they get to know the local medical community very well and have one-on-one teaching with their community based faculty. The Anchor has been presented as a best practice physician recruitment program to community interest groups and health organizations such as the Georgia Rural Health Association and Georgia Association of Primary Health Care. The Anchor also received recognition at three national conferences: National AHEC Organization, American Association of Colleges of Osteopathic Medicine and the National Rural Health Association.

GA PCOM Anchor students by AHEC region:

Academic Year

Blue Ridge

Magnolia

SOWEGA

Three Rivers

2009-2010

12

2010-2011

9

10

2011-2012

5

8

10

2012-2013

3

12

12

2013-2014

12

16

5

12

2014-2015

6

19

7

12

2015-2016

6

10

11

13

7

AHECs / Mercer University Physician Assistant CIP (Community Integration Program) In 2013 the Mercer University Physician Assistant Program partnered with Georgia AHECs to encourage their Physician Assistant students to work in rural Georgia by creating the Community Integration Program (CIP). Select cities have been identified outside of the Atlanta area where students will move to and complete all of their clinical rotations. The focus of the program is to allow students to complete all of their core clinical rotations in medically underserved areas over a 15 month period. Students will complete their core rotations in primary care, internal medicine, general surgery, mental health, and orthopedics in their CIP community. Ultimately, this program will foster students’ sense of belonging to their designated CIP community, and provide them with an opportunity to see if they would like to remain within the area and become local providers on a permanent basis.

Mercer PA CIP students by AHEC region: Academic Year

Blue Ridge

2013-2014

2

Foothills

Magnolia Coastlands

Three Rivers 1

2014-2015

3

2

2

2015-2016

2

2

4

8

9

Creating a Better State of Health: How GA AHEC Serves Our State 26,546

RECRUIT

26,525

77,894 Total Participants

24,823

Health Careers Participants

4,302

TRAIN

4,233

12,687 Total Rotations

4,152

Clinical Training Rotations

10

5,904

5,207

RETAIN

4,422

15,533 Total Participants

Continuing Education Participants

Georgia AHEC Operating Support

11

Georgia AHECS Blue Ridge AHEC

12

Foothills AHEC

www.foothillsahec.org/hcgm

Awards/ Grants • Awarded grant from the Healthcare Georgia Foundation, Inc. to produce five distance learning programs through the HealthTecdl project addressing issues of access, quality, and cost of Rural Healthcare including the needs of Georgia’s future and existing health workforce.

• Awarded support from the Georgia Academy of Family Physicians for our 2016 Pathway to Med School Program.

• Awarded grant from National AHEC Organization to develop in coordination with the NAO – National Training Center HPV leadership team a webinar on continuing education and “Hosting a Successful Webinar”.

13

Magnolia Coastlands AHEC

Awards/ Grants Awarded funding from the Georgia State Office of Rural Health to provide student training opportunities through the Migrant Health Interdisciplinary Project.

Completed grant initiative from Healthcare Georgia Foundation to produce four webinars focusing on rural health issues through the HealthTecdl project. Webinar topics included: * Access to Obstetrical Care: Rural Labor and Delivery Unit Closures * Are you “All things to all People?� New Tools for your Mental Health Toolbox * Overcoming Barriers to Increasing Adult Immunizations * Rural Hospital Stabilization Pilot Part 2: Navigating the Hub and Spoke Model in Georgia HealthTecdl is a statewide distance learning program, funded by the Healthcare Georgia Foundation, designed to support health professionals and strengthen services provided by nonprofit health organizations in Georgia. (www.healthtecdl.org)

14

SOWEGA AHEC

•

• •

•

•

• •

15

Awards/ Grants

ealthcare Georgia Foundation’s 2016 Joseph H D. Greene Community Service Award presented to Board of Directors Chairman of 23 years, Dr. William Guest of Tifton, Georgia.

Multiple awards to help underwrite the Pathway to Med School Program.

Georgia CORE, through the SCAN Initiative (Scan for Cancer- Access NOW) provided 180 mammograms for un/underinsured women from Terrell and 11 other counties in Southwest Georgia in an unprecedented 6 week period. Collaborative partners included Albany Area Primary Health Care (FQHC), Southwest Georgia Public Health District, the Cancer Coalition of South Georgia, Phoebe Health System and their Carlton Breast Center.

American College of Rheumatology, through an additional grant, continued to increase awareness of Lupus by expanding The Lupus Initiative throughout Southwest Georgia.

Awarded a grant to complete two weeklong “Bridging the Gap” Medical Interpreter Training Programs and a Certification Preparation Program to increase knowledge, cultural competency skills and provide professional development skills for farmworker clinic medical interpreters.

Healthcare Georgia Foundation grant that provided distance learning educational programs through HealthTecDL. National AHEC Organization, completed National Training Grant received from the CDC to offer educational programs to providers about HPV.

SPCC Atlanta AHEC

16

Three Rivers AHEC Three Rivers AHEC • •

Established: 1994

Counties Served: 28

17

19 4 0 3 34 3 7 10 2 10 43 2 4 6 13 454 4 3 5 2 0 9 9 4 104 2 2 13 153 1 15 0 52 11 35 18 17 8 4 17 1 2 28 534 4 0 299 13 0 3 16 2 16 2

78 0 43 0 30 281 101 1395 0 0 180 11 0 614 56 1077 130 120 0 0 391 0 67 0 128 200 0 308 29 0 217 0 418 193 27 296 0 0 0 3 0 144 1421 1139 0 0 655 8 0 341 40 0 76 115

0 0 0 0 0 0 9 3 0 0 1 1 3 8 7 6 10 3 1 1 7 10 2 1 0 0 0 0 0 0 56 21 6 1 2 2 6 1 21 4 0 0 22 13 8 1 0 0 105 49 11 4 8 2 1 3 7 16 0 0 16 9 0 0 79 105 0 0 94 21 1 2 1 1 13 11 1 1 30 5 0 0 10 6 45 8 40 32 0 1 1 1 208 101 4 6 0 0 22 6 0 0 8 1 92 5 1 1

0 0 0 0 1 0 3 0 0 0 6 0 0 0 0 8 0 0 0 0 0 6 0 0 15 0 0 2 15 0 0 0 2 0 2 0 0 2 0 0 0 0 0 1 0 0 34 0 1 0 0 0 0 0

0 0 0 0 0 1 10 6 10 0 3 2 0 0 0 47 6 1 0 21 0 25 8 0 183 10 0 1 12 0 5 0 84 0 32 5 1 1 1 12 0 4 4 42 0 0 163 2 0 3 0 8 3 0

18

0 0 0 3 0 0 1 2 0 0 7 0 0 0 0 20 0 0 1 0 0 6 0 0 0 0 8 0 6 0 0 0 5 0 1 0 0 19 0 0 0 1 42 1 0 0 33 0 0 19 0 0 32 1

0 0 0 0 0 0 0 0 0 1 3 0 0 0 0 3 0 1 0 0 0 6 0 0 0 0 1 0 11 0 14 0 12 0 45 0 0 23 0 25 0 0 35 7 0 0 12 1 0 0 0 0 1 0

0 0 0 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 1 0 0 0 0 0 0 34 0 0 0 0 0 0 0 0 5 0 1 0 1 29 1 0 0 0 0 0 0

0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 3 0 0 0 0 0 5 0 0 68 1 0 2 11 0 25 0 55 0 54 0 0 1 0 0 0 0 24 12 1 0 118 4 0 55 0 0 66 0

0 0 0 9 0 1 11 10 10 1 13 2 0 0 0 73 6 2 6 21 0 42 8 0 251 12 9 3 40 0 44 0 190 0 132 5 1 44 1 37 0 10 105 63 1 1 355 8 0 77 0 8 102 1

Total # of Contacts in

Total # of Student / Resident Rotations

Other (includes Oral Health) Rotations

Nurse Practitioner Rotations

Nursing Rotations

Physician Assistant Rotations

Medicine Rotations

# of Graduates Remaining in Sponsoring AHEC Region

# of Preceptors

# Primary Care Rotations

Participants in Health Career Programs

# of

County

Appling Atkinson Bacon Baker Baldwin Banks Barrow Bartow Ben Hill Berrien Bibb Bleckley Brantley Brooks Bryan Bulloch Burke Butts Calhoun Camden Candler Carroll Catoosa Charlton Chatham Chattahoochee Chattooga Cherokee Clarke Clay Clayton Clinch Cobb Coffee Colquitt Columbia Cook Coweta Crawford Crisp Dade Dawson Decatur DeKalb Dodge Dooly Dougherty Douglas Early Echols Effingham Elbert Emanuel Evans

# of Participants in Continuing Education Programs

2016 Performance Overview By County

97 4 43 15 65 286 130 1,421 15 12 252 16 4 620 69 1,633 141 127 12 27 391 70 85 4 547 218 13 329 253 1 285 0 767 204 217 321 19 65 6 62 1 162 1,562 1,769 6 2 1,444 35 1 427 56 11 199 119

Physician Assistant Rotations

Nursing Rotations

Nurse Practitioner Rotations

Other (includes Oral Health) Rotations

Total # of Student / Resident Rotations

Total # of Contacts in County

3 4 9 9 83 42 9 10 1 1 201 94 7 2 0 0 56 20 26 7 1 1 1 1 30 27 19 9 220 97 0 0 3 2 2 1 0 0 0 0 4 10 112 45 0 0 16 5 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 5 3 11 4 4 4 0 0 0 0 18 17 0 0 0 0 0 0 0 0 7 1 0 0 1 4 0 0 0 0 1 1 0 0 0 0 10 2 239 137 0 0 1 1 0 0 6 8

Medicine Rotations

126 0 1704 0 100 1588 0 0 35 55 384 0 658 14 1746 0 104 35 35 0 294 150 0 255 0 376 0 190 120 390 0 0 0 0 0 26 0 4 107 0 1 0 1 0 0 0 90 0 0 76 240 967 239 44 270 133

# of Graduates Remaining in Sponsoring AHEC Region

6 19 10 21 2 809 13 1 12 3 14 1 160 19 61 4 1 14 2 1 15 44 3 19 1 4 11 0 2 5 2 3 6 64 4 2 2 42 1 1 4 0 0 2 0 2 16 6 0 0 0 213 12 4 0 22

# Primary Care Rotations

# of Preceptors

# of Participants in Continuing Education Programs # of Participants in Health Career Programs

County

Fannin Fayette Floyd Forsyth Franklin Fulton Gilmer Glascock Glynn Gordon Grady Greene Gwinnett Habersham Hall Hancock Haralson Harris Hart Heard Henry Houston Irwin Jackson Jasper Jeff Davis Jefferson Jenkins Johnson Jones Lamar Lanier Laurens Lee Liberty Lincoln Long Lowndes Lumpkin Macon Madison Marion McDuffie McIntosh Meriwether Miller Mitchell Monroe Montgomery Morgan Murray Muscogee Newton Oconee Oglethorpe Paulding

0 0 1 0 2 5 0 0 5 0 0 1 23 5 84 0 0 0 0 0 3 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 5 4 0 0 0 0 0 0 1 1 0 1 1 0 74 0 2 0 0

3 3 54 8 1 117 7 0 118 22 0 0 20 19 76 0 3 0 0 0 4 172 0 18 1 0 0 0 0 0 1 0 5 6 1 0 0 40 0 0 0 0 7 0 10 0 0 1 0 0 10 322 0 0 0 3

0 9 4 0 0 17 0 0 0 6 1 0 5 2 51 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 3 4 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 50 0 1 0 0

0 0 1 0 0 39 0 0 1 0 0 1 3 1 34 0 0 0 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 1

0 0 4 1 0 1 0 0 0 1 0 0 16 0 38 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 52 0 0 0 3

4 0 92 1 0 124 0 0 0 1 0 0 4 4 155 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 10 0 0 0 0 0 0 1 0 0 0 0 0 0 120 0 0 0 2

7 12 155 10 1 298 7 0 119 30 1 1 48 26 354 0 3 2 0 0 10 173 0 18 1 0 0 0 0 0 1 0 8 11 5 0 0 50 0 0 0 0 7 0 17 0 0 1 0 0 10 548 0 1 0 9

143 40 1,912 41 106 2,794 22 1 191 95 400 4 916 73 2,342 4 110 52 37 1 332 413 4 298 3 380 11 190 122 395 4 3 18 80 14 28 2 118 112 1 5 0 9 2 21 3 107 8 1 77 252 1,939 251 52 270 172

19

Total

Total # of Contacts in County

Total # of Student / Resident Rotations

Other (includes Oral Health) Rotations

Nurse Practitioner Rotations

Nursing Rotations

Physician Assistant Rotations

Medicine Rotations

# of Graduates Remaining in Sponsoring AHEC Region

# Primary Care Rotations

# of Preceptors

# of Participants in Continuing Education Programs # of Participants in Health Career Programs

County

Peach Pickens Pierce Pike Polk Pulaski Putnam Quitman Rabun Randolph Richmond Rockdale Schley Screven Seminole Spalding Stephens Stewart Sumter Talbot Taliaferro Tattnall Taylor Telfair Terrell Thomas Tift Toombs Towns Treutlen Troup Turner Twiggs Union Unknown Upson Walker Walton Ware Warren Washington Wayne Webster Wheeler White Whitfield Wilcox Wilkes Wilkinson Worth Other States Other Countries

6 20 23 4 0 20 2 0 1 0 23 53 6 138 31 3 0 16 9 2 5 0 32 179 6 0 5 1 0 5 0 0 0 0 5 12 2 259 0 0 0 0 0 0 0 0 0 261 6 1352 4 5 1 8 1 0 0 0 9 1,373 5 0 0 1 0 0 0 5 0 0 5 11 4 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 3 69 6 3 5 5 0 0 1 0 6 86 1 0 0 0 0 0 0 0 0 0 0 1 51 66 124 89 9 155 10 7 1 3 176 391 6 0 6 3 3 6 0 0 0 0 6 18 0 0 0 0 0 0 0 0 0 0 0 0 4 185 0 0 0 0 0 0 0 0 0 189 0 0 1 2 1 1 0 6 0 0 7 10 1 0 1 3 0 0 1 0 1 1 3 7 13 134 19 13 1 9 5 0 3 5 22 183 0 0 0 0 0 0 0 0 0 0 0 0 19 22 11 6 4 7 3 8 1 0 19 70 3 0 0 0 0 0 0 0 0 0 0 3 0 40 0 0 0 0 0 0 0 0 0 40 8 0 0 0 1 0 0 0 0 0 0 9 3 1339 0 0 0 0 0 0 0 0 0 1,342 1 0 0 0 0 0 0 0 0 0 0 1 202 379 4 2 0 1 1 0 2 0 4 587 32 280 19 16 3 12 2 5 0 46 65 396 13 0 38 24 4 39 0 8 9 9 65 106 11 0 16 9 2 14 3 4 1 0 22 44 3 53 9 2 1 8 1 0 0 0 9 68 0 0 0 0 0 0 0 0 0 0 0 0 12 0 33 22 3 33 0 29 4 2 68 105 8 0 0 0 0 0 0 0 0 0 0 8 1 239 0 0 0 0 0 0 0 0 0 240 2 56 0 1 2 0 0 0 0 2 2 63 0 0 2 0 0 1 0 0 0 7 8 8 3 0 15 9 0 6 10 0 0 0 16 28 2 295 2 1 0 2 0 0 0 0 2 300 10 0 5 5 2 8 0 0 0 0 8 25 12 40 0 0 1 0 0 0 0 0 0 53 0 0 0 0 0 0 0 0 0 0 0 0 4 31 3 1 0 3 0 0 0 0 3 39 3 138 8 3 0 6 2 0 0 0 8 152 1 100 0 0 0 0 0 0 0 0 0 101 2 0 0 0 0 0 0 0 0 0 0 2 4 0 4 3 1 2 0 0 2 0 4 12 14 67 15 6 0 10 0 1 0 5 16 103 2 0 9 1 0 0 0 0 0 16 16 19 1 37 0 0 1 0 0 0 0 0 0 39 4 0 0 0 0 0 0 0 0 0 0 4 8 220 0 0 1 0 0 0 0 0 0 229 209 77 5 9 0 13 1 0 0 0 14 309 4 0 0 0 0 0 0 0 0 0 0 4 4,422

26,525 2,485 1,291

368 2,158

20

421

364

234

1,125

4,302

36,908

Georgia Statewide AHEC Network Augusta University 1120 15th Street, AA-1057 Augusta, GA 30912

Non-Profit Org. U.S. POSTAGE PAID Augusta, GA Permit No. 210

RETURN SERVICE REQUESTED

Serving Georgia’s Communities Since 1984

PS 15

11/16

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