190620-nrr-vadirector-01

A man and woman make their way to the front door of the emergency room on the campus of the Roseburg VA Medical Center in June.

The Roseburg Veterans Affairs Medical Center will downgrade its 24/7 emergency department to a 12-hour, five-day-a-week urgent care next week, but that will leave Roseburg area veterans with a gap in service on the weekends.

The Roseburg VA is officially converting its emergency department to an urgent care as of Aug. 16, but it won’t offer weekend hours.

Under the new Mission Act that took effect in June, veterans have the option of visiting an urgent care that’s on the VA’s list of in-network private providers.

There’s just one catch, though. None of the in-network private providers are in Roseburg.

“We’re the only area in Southern Oregon that doesn’t have an urgent care that’s on board with the Mission Plan,” said Douglas County Veterans Forum President Larry Hill. He said it would ease Roseburg area veterans’ angst over the recent changes at the VA if a Roseburg urgent care signed onto the VA’s network.

The VA says it’s working on it. Currently, though, the only facility within 50 miles of Roseburg that appears on the VA’s online search for in-network urgent care is Canyonville Health and Urgent Care, and even it does not have weekend hours.

The VA operates clinics in North Bend, Brookings and Eugene, but they are also closed weekends.

Eleven additional in-network urgent cares are listed within 100 miles, with locations including Medford, Ashland, Grants Pass, White City, Brookings, Springfield, Eugene and Lebanon, and they do offer weekend service for those veterans willing and able to get there.

The closest in-network urgent care facilities that offer some weekend hours include Peacehealth Medical Group at 3321 W. 11th Ave., Eugene; Valley Immediate Care, 162 NE Beacon Dr., Suite 103, Grants Pass and Asante Urgent Care at 537 Union Ave., Grants Pass.

Other options within 100 miles of Roseburg include Asante Urgent Care in White City and Medford; Peacehealth Medical Group in Springfield; Valley Immediate Care in North Medford, South Medford and Ashland; Curry Medical Center in Brookings and Samaritan Lebanon Community Hospital in Lebanon.

The Asante, Valley Immediate Care, Peacehealth and Samaritan Lebanon facilities are open weekends during the daytime. Curry Medical Center’s urgent care is open Saturdays but closed Sundays.

Some veterans will have $30 co-pays, depending on their assigned priority group and how many times they’ve already visited an urgent care that year.

There are three private urgent care facilities in Roseburg. All of them have weekend hours. But since they’re not part of the network, the VA won’t pay if veterans receive care at them.

“When Veterans are using their urgent care benefit they must go to an urgent care provider in VA’s network. VA is working diligently with TriWest to add urgent care centers,” said Roseburg VA spokesman Tim Parish on Friday. TriWest is the company contracted with the VA to manage community care for veterans.

The VA referred veterans with questions about urgent care to its website at https://www.va.gov/COMMUNITYCARE/programs/veterans/Urgent_Care.asp

That page leaves veterans with four options if they find themselves at an out-of-network urgent care: to pay for their own care at the out-of-network urgent care, to go to a different urgent care provider that’s part of the network, to go to the nearest VA medical facility or to go to the nearest emergency department. If the veteran goes to the emergency department for an urgent care-level concern though, one that’s not an emergency, the veteran will wind up with the bill.

Roseburg VA Director Keith Allen said in an interview earlier this summer that the Roseburg VA hasn’t really had a full-service emergency department for awhile and calling the ED an urgent care will be more accurate. About 89 percent of the cases seen at the VA’s emergency department were actually urgent care level concerns, Allen said.

The VA’s intensive care unit shut down in 2009, and Allen cited staffing shortages and patient safety as the reasons for completing the conversion to an urgent care this month.

Whether the VA clinic’s open or not, veterans are being advised to go directly to the nearest emergency room — Mercy Medical Center for most local veterans — if they reasonably believe their health or lives are at risk. The VA does pay for emergency care at an outside hospital for life-threatening situations.

Reporter Carisa Cegavske can be reached at ccegavske@nrtoday.com or 541-957-4213.

React to this story:

0
1
2
3
7

Senior Reporter

Carisa Cegavske is the senior reporter for The News-Review. She can be reached at ccegavske@nrtoday.com or 541-957-4213. Follow her on Twitter @carisa_cegavske

(1) comment

chicagomike

Roseburg Director Keith Allen's emergency decision that was made in 36 hours to close the emergency rooms is just another reason to question the VA's motives. The lack of care for veterans that participate in the Roseburg VA healthcare system is evident by this decision as well as numerous other problems.

The 250 plus vacancies reported in the NRToday didn't happen overnight. The 90% of ambulances destined for the Roseburg ER being turned away, as reported here by a former Roseburg VA ER employee are just another example that nothing has changed since Bogedain, Paxton, Whitmer and now Allen were charged with shutting down the ER.

DCVF's Larry Hill motives, who has expressed his support for reducing ER hours and now closing the ER without looking at all of the facts, should be questioned. His past public outspokenness in support of Paxton before he left is also questionable. The DCVF does not speak for all Veterans who participate in the Roseburg VA Healthcare system.

One of reason taken into consideration for not reducing the ER hours under Whitmer, published in NRToday, was that the Oregon Veterans Home would require emergency room services.

Now that project has apparently been scrapped as the VA, ODVA an State Legislators play the blame game for dropping the ball and not building this needed facility.


Welcome to the discussion.

Keep it Clean. Please avoid obscene, vulgar, lewd, racist or sexually-oriented language.
PLEASE TURN OFF YOUR CAPS LOCK.
Don't Threaten. Threats of harming another person will not be tolerated.
Be Truthful. Don't knowingly lie about anyone or anything.
Be Nice. No racism, sexism or any sort of -ism that is degrading to another person.
Be Proactive. Use the 'Report' link on each comment to let us know of abusive posts.
Share with Us. We'd love to hear eyewitness accounts, the history behind an article.