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Geriatrics Consultation Service

455 Toll Gate Road
Warwick, RI 02886
P: (401) 737-7000, ext. 34893

The clinicians in our Geriatric Medicine Program work collaboratively with surgeons, hospitalists, orthopedics, nurses, and other specialists at Kent Hospital to manage older adults while they are in the hospital with an emphasis on wellness promotion and improvement in daily functioning. The team develops a treatment plan, in cooperation with each patient’s hospital team and family, which can be carried out during the hospital stay and later in the home in conjunction with the patient’s primary care provider.

The team will collaborate on maximizing the quality of life for each older adult and understanding what matters most to each individual to create a care plan to meet those goals of care. As a Conversation Ready sponsor organization, Care New England puts patient-centered care and quality of life front and center.

As a NICHE Designated Hospital (Nurses Improving Care for Health system Elders), Kent Hospital is committed to older adult care excellence and to providing patient-centered care for these patients. Our 16 geriatric resource nurses have completed extensive training designed around the care needs of patients age 65 and older, offering care in an environment that is geriatric friendly by making sure that patients are moving appropriately, eating well, and getting the necessary sleep for healing and recovery.


Ana C. Tuya Fulton, MD, FACP, AGSF, Executive Chief of Geriatrics and Palliative Care, Care New England Executive Chief of Geriatrics and Palliative Care, Care New England
Ana C. Tuya Fulton, MD, FACP, AGSF, Executive Chief of Geriatrics and Palliative Care, Care New England

Ana Tuya Fulton, MD, FACP, AGSF, is executive chief of geriatrics and palliative care at Care New England and medical director of Integra Community Care Network, LLC. Dr. Fulton is a graduate of the George Washington University School of Medicine and completed a residency in internal medicine, chief residency, and geriatric fellowship at Brown University.

An associate professor of medicine and associate professor of psychiatry and human behavior at The Warren Alpert Medical School of Brown University, Dr. Fulton received a Geriatric Academic Career Award from the Health Resources and Services Administration (HRSA). Dr. Fulton’s major focus of clinical and academic work is on improving end-of-life and transitional care for persons with cognitive impairments. Dr. Fulton is the Care New England site director and co-project director for the Rhode Island Geriatric Workforce Enhancement Project (RI-GWEP).

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Michael G. Ross, DO, Director of Inpatient Services, Kent Hospital Director of Inpatient Services, Kent Hospital
Michael G. Ross, DO, Director of Inpatient Services, Kent Hospital

Michael G. Ross, DO, is a geriatrician and director of inpatient services at Kent Hospital. A graduate of the University of New England College of Osteopathic Medicine, Dr. Ross completed the New Hampshire Dartmouth Family Medicine Residency Program and the Maine Dartmouth Geriatric Medicine Fellowship. Specializing in geriatric and family medicine, Dr. Ross has specific clinical interest in medication management, falls prevention, and the treatment of delirium.

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Julio C. Defillo Draiby, MD
Julio C. Defillo Draiby, MD

Julio Defillo Draiby, MD, is trained to provide comprehensive medical care for elderly and aging patients. As patients age, they may experience an increased susceptibility to illness and injury. In some cases, illnesses or injuries in seniors may overlap to create complicated diagnostic and treatment processes.

Dr. Defillo Draiby is trained to diagnose, treat, and manage these and any related medical situations in seniors. He currently serves as an advisor to Healthcentric, helping to optimize the management of geriatric patients through the Centers for Medicare & Medicaid Services.

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Mary Beth Welesko

Mary Beth Welesko, MS, APRN-CNP, FNP-BC, GNP-BC, ACHPN, WCC, is a family nurse practitioner and gerontological nurse practitioner who provides medical care to geriatric patients across the continuum of health care settings.

A graduate of Providence College, Rhode Island College School of Nursing, and the Family Nurse Practitioner Program at the University of Rhode Island, Mary Beth is also a teaching associate at The Warren Alpert Medical School of Brown University. She has also earned advanced certification in hospice and palliative care nursing and wound care, and is a member of the Hospice and Palliative Care Nurses Association and the Nurse Practitioner Association of Rhode Island.

Leyda Urugatia Cante
Leyda Urugutia-Cante, BSW

Leyda Urugutia-Cante, BSW, is a social worker with Integra Community Care Network and Kent Hospital. A graduate of Rhode Island College with a degree in social work, Leyda is also a certified nursing assistant and a medical assistant. Leyda has worked as an advocate for patients and their families and is fluent in both English and Spanish.

Lidia A. Vognar, MD, MHS cMD
Lidia A. Vognar, MD, MHS cMD

 Dr. Vognar began her career in geriatric medicine nearly fifteen years ago, driven by a desire to be both advocate and caregiver to members of the senior population. The youngest child of already aging parents, Dr. Vognar has always held a deep respect and affection for seniors and came to appreciate at an early age the important role that access to high-quality healthcare plays in the aging process. After completing medical school in her home country of Serbia, Dr. Vognar studied internal medicine here in Rhode Island, training at Roger Williams Medical Center. She went on to Duke University and the Durham VAMC, where she completed an advanced geriatric fellowship, obtained her Masters in Health Sciences, and embarked on a number of efforts to support and protect the senior community and veterans. Dr. Vognar is currently on staff at five of the major hospitals here in RI, including Roger Williams Medical Center, the Miriam Hospital, Rhode Island Hospital, the Providence VA Medical Center, and Kent Hospital. An Assistant (Clinical) Professor of geriatric medicine at Brown University, Dr Vognar’s specialties include geriatric and palliative medicine with an expertise in elder abuse.

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