Primary Care for Older Adults

Patient-Centered Care for Older Adults

To better enhance the care of our older adult patients, Care New England Medical Group (CNEMG) with the support of the Integra care team, has launched an innovative ambulatory practice setting where members can seek their care conveniently and in the community. This practice was designed to better suit the needs of older adults.

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Contact Information

CNEMG Primary Care for Older Adults and Geriatric Medicine Consult Practice

215 Toll Gate Road, Suite 104
Warwick, RI, 02886
(401) 921-7290

Care New England health care services are staffed by Care New England Medical Group (CNEMG) clinicians who provide primary care and specialty services.

CNEMG Geriatric Medicine Consult Practice

New Help for Complex Geriatric Patients

Geriatric medicine outpatient consultations are also available through the CNEMG Geriatric Medicine Consult Practice now located at the Primary Care for Older Adults office in Warwick.

In collaboration with each patient’s primary care physician, the geriatric medicine consult will provide the patient, family members, and caregivers with a treatment plan that can be carried out in the home and focuses on wellness promotion and improvement in daily functioning.

All information obtained through the assessment and evaluation in the clinic will be shared with the patient and family (as requested by the patient) and referring physician.

Medical conditions

Consultations and assessments are available for medical problems such as:

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  • Memory
  • Alzheimer’s and other dementias
  • Falls
  • Polypharmacy/medication management (simplification and consolidation of complex medications lists).
  • Geriatrics assessment to support decision-making before surgery or treatment of a serious illness.

What is the Goal of the Consultation?

The goal of the consultation is to provide the patient, caregiver, and patient’s primary care provider with:

  • An in-depth assessment focused on a specific condition or general concerns (i.e. geriatric assessment).
  • A review of the patient’s current plan and medication regimen.
  • Advice about evaluation and management.
  • If appropriate, recommendations for additional tests or further evaluation.
Following the patient consultation, the physicians send a detailed summary of findings and recommendations to the referring physician. For more urgent matters, the geriatric consultant communicates directly with the referring physician by phone.

Ambulatory and Outpatient Services

Our primary office, located in Warwick and just down the street from Kent Hospital, includes the following services:

  • Daily access to geriatrics clinicians (physicians and a geriatric nurse practitioner on-site).
  • 24/7/365 hour nurse call system with access to community paramedicine support. Separate from 911, this system uses the practice to contact on-call physicians or paramedics when needed for home visits or urgent care.
  • Same day availability for appointments.
  • Transportation to and from the practice if needed through Uber Health. Uber Health provides door-to-door transportation for our patients within metro Providence and Warwick for those who require transportation to their physician appointment.
  • Nurse care manager support.
  • Future eligibility for enrollment in Integra’s additional ACO programs. With this program, every eligible patient will be assigned a nurse care manager and the option of a multidisciplinary team that includes a physician assistant/nurse practitioner home visit, a social worker for assistance with community resources, and community paramedicine to assist with exacerbations of chronic conditions.

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Community Room

As part of this program, a group room has been outfitted within the practice to be a space for additional programming offerings that will be available to all older adults in the practice as well as to the larger community of practices in CNEMG and Integra.

This space offers nontraditional services to support health and wellness, as well as programming to support those with chronic illnesses. Examples of planned offerings include exercise classes (yoga, chair yoga, tai chi), fall prevention and recovery workshops, group visits for certain conditions or for education (diabetes management), patient and caregiver education, nutritional programs, and more.

Meet The Team

Aileen Soriano, MD, FAAHPM

Assistant Professor of Medicine, Clinician Educator for the Warren Alpert Medical School of Brown University

Dr. Soriano-Pisaturo is a primary care physician at the Primary Care for Older Adults Practice a palliative care physician for the Care New England Medical Group. She is an Assistant Professor of Medicine, Clinician Educator, for the Warren Alpert Medical School of Brown University and is a fellow of the American Academy of Hospice and Palliative Medicine. She received the Top Docs 2020 Award from Rhode Island Monthly for Palliative Care. She is board-certified in Internal Medicine as well as Hospice and Palliative Medicine having completed her Internal Medicine residency at the Metropolitan Hospital program of New York Medical College, and her fellowship in Palliative Medicine at the Cleveland Clinic. Her interests include bioethics, communication in serious illness, and improving the quality of care for patients and families living through a life-limiting illness.

Rachel Roach, APRN-CNP, MSN, Geriatric Nurse Practitioner

Rachel Roach, APRN-CNP is a geriatric nurse practitioner with more than 20 years of 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. 

Kimberly Smith, LICSW
Amy Halt, MD
Linda Zabbo