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
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).
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.
Maria-Aileen Soriano-Pisaturo, MD, Director of Palliative Care Services, Kent Hospital
Dr. Soriano-Pisaturo is the Director of Palliative Care Services for Kent Hospital and Assistant Professor of Medicine, Clinician Educator, for the Warren Alpert Medical School of Brown University. She completed her Internal Medicine residency at the Metropolitan Hospital program of New York Medical College, and graduated from a fellowship in Hospice and Palliative Medicine at the Cleveland Clinic. She is board-certified in Internal Medicine as well as Hospice and Palliative Medicine. Her clinical work settings include: the inpatient palliative care consultative services at Kent Hospital, Women & Infants Hospital and Butler Hospital, and outpatient palliative care clinics embedded into medical oncology and women’s oncology. Her interests include bioethics, communication in serious illness, and improving quality of care for patients and families living through a life-limiting illness.
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.
Mary Beth Welesko, MS, APRN-CNP, FNP-BC, GNP-BC, ACHPN, WCC
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 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
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.
Rachel A. Roach, APRN-CNP,, MSN, Geriatric Nurse Practitioner
Rachel Roach, APRN-CNP is a geriatric nurse practitioner with more than 20 years' experience. She is a graduate of Simmons College Graduate School for Health Studies. Her clinical experience includes outpatient, acute care, house calls and long term care. An experienced educator, Rachel has served as the Co-Director of the Geriatric Intern Rotation at RI Hospital as well as faculty in the Geriatric and Palliative Medicine Fellowship programs at Brown University. Rachel is particularly interested in the management of complex illness and reduction of hospitalizations in older adults.