What is Primary Care?

Primary care is how our doctors, nurses, and trained staff work together to help you establish the highest level of health you can achieve. It takes all of us working together to keep you in good health and reaching for an even greater health status. Primary care can help diagnose everything from an ear infection or a skin condition, to other ailments that are more serious, like cancer or a heart condition. Everything that surrounds your personal health, no matter how big or small you perceive it, contributes to your overall symptoms and wellness.

Primary care may also include referring you to a specialist who can treat a particular issue that needs a higher level of care. But no matter the issue, we are a team – you, your family, and us!

Primary Care Services

We have a mission to contribute to the overall wellness of individuals, families, neighborhoods, and communities through compassionate, patient-centered care to our members. Our two clinics are dedicated to serving you and your family with a team of healthcare professionals you won’t find anywhere else. Both of our clinic locations in Roseburg and Canyonville offer primary care, lab services, nutrition-based counseling and more.

Services we offer at both of our clinic locations:

• Family medicine
• Laboratory
• Radiology (South clinic only)
• Immunizations for adults and children
• COVID testing and vaccinations
• Podiatry
• Eye screening for diabetic blindness (JVN)
• Behavioral health integration
• Nutrition counseling
• Referrals to outside resources as needed

Model of Care/Accreditation

We are accredited by:

• The Association for Ambulatory Health Care
• Primary Care Medical Home Certification

Our commitment to safe, quality care hasn’t changed over the years, but how we deliver it has changed.

Today, our patients receive care from more providers than ever before. We strive to assure the relationship between providers, patients, and their families remains strong. Our certifications ensure our programs’ clinical performance standards for targeted metrics, as well as other compliance standards, demonstrate commitment of all our staff and administration to continuous improvements in patient care.

What is Care Coordination?

At Cow Creek Health & Wellness Center, we believe in a method of coordinating your appointments, therapies, social needs, and all follow-up with our team, so that you get all the care you need. Each patient is given an option to have a care coordinator on their team, and to receive a care coordination assessment of needs. That means your doctor, nurse, therapist, dietician, and pharmacist are all on the same page about the plan to get you well again. Our teams work together to ensure you and your family can set and achieve realistic goals for your extended healthcare needs, all documented in a care management action plan.

Here is what you can expect from your Care Coordination Team:

• We connect patients to physical, behavioral, and oral health services, long term services and supports, social services, and community resources as needed to support each patient’s health and well-being.
• We coordinate with other care providers to bring you treatments and therapies from outside specialists, such as early intervention, children and youth services, home health, cardiac rehabilitation, physical therapy, psychiatric consultants, community health workers, traditional health workers, and other medically-related support services.
• We schedule regular follow-ups for patients with appropriate clinical and non-clinical staff based on specific healthcare needs and what is described in your plan of care.
• We track, monitor and engage with patients on their progress and regroup with the Care Coordination Team when things aren’t progressing the way they should.
• We give you access to 24/7 nurse advice lines, education, and disease self-management
  programs and activities to support your healthy lifestyle.

Cow Creek Public Health has risen to the forefront of local health departments by taking on the COVID-19 pandemic. Throughout the pandemic, our Public Health Team remained steadfastly committed to keeping the community safe.

In January 2021, Cow Creek Public Health, along with Cow Creek Health and Wellness Center, became one of the only health entities in the region to receive the COVID-19 mRNA vaccine from Moderna, and immediately formed a widespread mass vaccination plan and campaign to get doses into arms. During the first year, Cow Creek Public Health gave over 7,500 COVID-19 vaccinations to community members across Oregon and Washington.

COVID Testing and Vaccination

As we move forward from the COVID-19 pandemic, testing has become a central part of the care we offer our patients. Patients of Cow Creek Health and Wellness Centers may make an appointment for COVID-19 testing. We offer rapid tests (results in 15 minutes). If you’re experiencing symptoms of COVID-19, please alert our staff before your arrival.

Cow Creek Health & Wellness Center’s North Clinic also utilizes our negative pressure rooms to treat patients with COVID-19.

Part of preventative medicine includes receiving immunizations at regular points during childhood development, and when you’re an adult. Cow Creek Health & Wellness Center offers all regularly implemented vaccines. If you need a specific immunization, talk with your care team.

• (Diphtheria, Tetanus, Pertussis)
• Hepatitis A
• Hepatitis B
• Hib (Haemophilus Influenzae type b)
• HPV (Human Papillomavirus)
• Influenza
• Measles/Mumps/Rubella & Varicella (MMRV)
• Meningococcal ACWY
• Pneumococcal Conjugate (PCV13)
• Pneumococcal Polysaccharide (PPSV23)
• Polio
• Rotavirus
• Tdap (Tetanus, Diphtheria, Pertussis)
• Td (Tetanus, Diphtheria)
• Varicella (Chickenpox)

Elder Care Endocrinology

• Diabetes Mellitus
• Hyperglycemia
• Pancreatitis
• Thyroid Disorders
• Hormonal Disorders

Podiatry

Pediatrics

• Pediatric Asthma
• Pediatric Autism
• Pediatric Chronic Pain
• Pediatric Diabetes
• Pediatric Eating Disorders
• Pediatric Epilepsy
• Pediatric Musculoskeletal Infection
• Pediatric Obesity
• Pediatric Trauma

Pharmacies

Cow Creek Health and Wellness Center partners with several local pharmacies to assure easy and affordable access to your medications, which are called in quickly and with urgency. Our clinics maintain a good relationship with several local pharmacies, so that we can ensure you can pick up your prescribed medication from a pharmacy you trust. Speak with our clinic staff for more information on our pharmacy partners.

A whole picture of wellness includes our diet, exercise, and an action plan for achieving our goals. Cow Creek Health and Wellness Center gives you access to nutrition experts and dieticians that can help you move beyond harmful eating habits, and into a pattern of lively meals with nutritious value. Patterns lead to lifestyles, and that’s what we’re here for to help you accomplish.

• Medical Nutrition Therapy
• Nutrition Counseling
• Cooking Demos
• Diabetes Treatment
• Diabetes Prevention Lifestyle Coaching
• Cancer Prevention
• Tobacco Cessation

Diabetes Prevention Program Brochure

Nutrition and Lifestyle Management Brochure

Quit Nicotine

We can help our patients quit commercial tobacco to lengthen life expectancy, decrease risk of disease, and increase their overall quality of life. It’s a multi-pronged approach to stop using nicotine: there’s nicotine replacement therapy (NRT), one-on-one counseling, group classes, and access to quit lines. If you need assistance from a Registered Dietician, or our Behavioral Team, we can help provide that wrap-around care.

Healthy Cooking Test Kitchen

Once a month, our Health Education team holds cooking demonstrations in our Healthy Cooking Test Kitchen at the Roseburg Campus. This space is also used for cultural cooking events.

An important part of our holistic approach to wellness at Cow Creek Health and Wellness Centers includes your mental health. We all have a tendency to put mental health as an afterthought. With our Behavioral Health Team of professional therapists, practitioners, and counselors, we can help put you on a plan to overcome your biggest mental health challenges.

• Substance-use disorder assessment
• Mental health therapy
• Medically-assisted treatment (coming soon)
• Prevention
• Mental health therapy treatment
  • Anxiety
  • Attention Deficit Hyperactivity Disorder (ADHD)
  • Bipolar disorder
  • Chemical dependency
  • Dementia
  • Depression
  • Eating disorders
  • Geriatric delirium
  • Neurological-based psychiatric services
  • Self-injury
  • Trauma-informed care

To schedule an appointment or explore treatment options, call (541) 672-8533, Option #5.

Douglas County Partnerships

Mercy Foundation
Beyond the Diagnosis – Type 1 Diabetes
Umpqua Health Alliance
Health Equity Committee
UHA Board position
Roseburg Veterans Association

Member of Douglas County Communities’ Network of Care
Member of Blue Zones Project Steering Committee

State of Oregon Leadership / Committees

Universal Healthcare Governor’s Committee
IMPACTS (Criminal Justice Commission Committee)

Federal Leadership

IHS Tribal Leaders Diabetes Committee
2005 – Present

DHHS Secretary’s Tribal Advisory Committee to Centers for Disease Control and Prevention Agency for Toxic Substances and Disease registry (CDC/ATSDR)
2019 – Present

Tribal Technical Advisory Committee to the Centers for Medicare & Medicaid Services
2020 – Present

Portland Area IHS Fund Distribution Workgroup
2011 – Present

IHS Portland Area Facilities Advisory Committee
2007 – Present

Health Programs for Members of the Cow Creek Band of Umpqua Tribe of Indians

For Purchased and Referred Care, the Over-the-Counter Program, and other Tribal Programs, please click this link to log in to the Tribal-only side of our website.

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• 1981 – Identified service delivery area (four counties)
• 1982 – Tribal members traveled to Chemawa SU to receive medical/ dental services
• 1983 – Tribal needs assessment was conducted
• 1984 – First Community Health Representative (CHR) hired to visit Tribal members and transport to medical appointments and basic medical care
• 1985 – Tribal Youth Council was formed to provide become future Tribal leaders
• 1986 – Hired Nurse Practitioner and became the Health Director
• 1988 – Hired A&D Counselor
• 1992 – Public Health Nurse hired to do home visits
• 1996 – IHS and Tribe sign Contract – Annual Funding Agreement
• 1996 – Contract Health Services began issuing purchase orders for healthcare costs
• 1998 – Opening of the CCH&WC – North campus
• 2000 – Behavioral Health (BH) Department formed
• 2002 – Nutrition Program; hired first Dietician
• 2004 – Diabetes Prevention Program started; Podiatry services added as first specialty
• 2007 – Joslin Vision Network Teleophthalmology services began
• 2009 – Psychiatrist hired to expand BH services
• 2010 – Developed BH Advisory Committee (BHAC) and Health Advisory Committee (HAC)
• 2012 – First three-year AAAHC Accreditation
• 2013 – Tribal Pharmacy (340B)
• 2015 – Opening of the South Clinic in Canyonville
• 2015 – Self-Governance Compact to begin – Jan 1, 2015
• 2015 – AAAHC Recertification and Medical Home Certification
• 2016 – Casey Eye Institute – Annual Mobile Optometry Services
• 2017 – Open to the public via Coordinated Care Organization (in-network Provider)
• 2017 – New Electronic Health Record (EHR) system – Greenway Intergy
• 2017 – 24-Hour Nurse Call System begins
• 2017 – Trauma Informed Care (TIC) Initiative Staff training (five-year project)
• 2017 – Recognized by State of Oregon as a Primary Care Medical Home – Tier four
• 2018 – Tele-Psychiatry and behavioral health therapy services begin
• 2018 – Patient Portal developed for increased communication with medical teams
• 2018 – Tribal Employee Blue Zone Project initiated
• 2018 – Pediatric services initiated at the South Clinic
• 2019 – Expanded 340B Pharmacy Program to include six local pharmacies
• 2019 – Podiatry services expanded to include both clinics weekly
• 2020 – Public Health Department newly formed
• 2020 – Expanded infection control clinic space
• 2021 – Purchased land and began renovation of new North Clinic building
• 2021 – Telemedicine services began for clinic patients to be seen in their homes
• 2021 – Population Health Team hired to coordinate patient care

Our Mission

Our mission is to contribute to the overall wellness of individuals, families, neighborhoods, and communities throughout individualized, empowering, and compassionate care to our members.

Our Vision

The vision of the Cow Creek Health & Wellness Center is to work in partnership with the people we serve to elevate their physical, mental, social, and spiritual health to the highest level.

Our Values

• Lower costs to paitents
• Improved health services for the Tribal community
• Delivery of health care best practices
• Excellent patient experience
• Proactive prevention efforts

Welcome, friends, to the Cow Creek Health & Wellness Center.

The Cow Creek Band of Umpqua Tribe of Indians is taking the lead in transforming the way healthcare is delivered to its Tribal members and their families, our employees and their families, and our entire Southern Oregon community.

Our Health and Wellness Center has transitioned to a patient-centered model of healthcare delivery, by which the patient and their family are the “hub” of the medical team. We find this to be a much more realistic approach to determining the needs of patients, by asking them to be a part of the development of their own care plan. We promote the ability of each person to work side-by-side with their medical team, behavioral health consultant, dietician, and lifestyle coaches to achieve their goals.

We believe our patients can be significantly healthier and improve their overall quality of life. Our holistic approach balances the triad of physical medicine, vital mental health, and (for those who wish) spiritual healthcare via the many resources available (for example, local AA meetings or one’s preferred cultural integration during their appointments).

We strive to provide education regarding childhood trauma and the knowledge and resources needed to live healthy lives, despite the trauma many of us have experienced. Knowing those childhood experiences are directly linked to chronic diseases, Cow Creek Health and Wellness Center offers patients the opportunity to recognize and understand what may have happened to them as children, and how it affects brain growth and development. We can help build the resilience needed to counter such trauma.

Our goal for each patient is to live each day as pain-free as possible, and to manage both acute and chronic diseases through education and learning with many of our self-care courses, tools, and resources.

I welcome you to join us at our Cow Creek Health and Wellness Center clinics in Roseburg and Canyonville, Oregon. Our services, programs, and staff are there to meet the healthcare needs of you and your family!

Dr. Sharon Stanphill
Health Director, Cow Creek Band of Umpqua Tribe of Indians