For Patients

The Clinic

The CoGeNT Clinic focuses on providing comprehensive, evidence-based and up-to-date neurologic care for two groups of individuals: adults experiencing a progressive loss of cognitive function (e.g. memory, language, or visual spatial skills) and those over 65 with a variety of neurologic conditions including gait and balance problems, dizziness, post-stroke cognitive impairment, neuralgia and seizures.

We offer complete testing and evaluation of cognitive and geriatric neurologic conditions on-site at the Health Team Clinical Center and are closely allied with MSU-based Geriatrics, Geriatric Psychiatry, Physical Therapy and Rehabilitation providers (including driving evaluations and neuropsychologists) when needed for comprehensive care and disease management.

Dr. Bozoki Personal Statement

Andrea BozokiI have over 15 years’ experience focusing on the clinical care of patients with cognitive impairment and dementia as a consulting specialist. I believe this gives me substantial f insight into what aspects of care provide the greatest value to patients, their families and to the primary care physicians who are on the front lines in managing dementia. Over the years, I have experimented with many different approaches to care, and have developed some guiding principles regarding what works and what doesn’t. For example, spending 5 minutes (out of a 30 minute appt.) teaching a caregiver how to approach bathing refusal or the non-pharmacologic strategies for handling agitation is time well spent, whereas spending that same 5 minutes attempting to do a full MMSE on a patient with advanced dementia just to get a number for documentation purposes is probably not useful.

Not only do I manage the complexity of patients with dementia, but I understand well the range of co-morbid conditions that add to the challenge of caring for this population- gait and balance impairment leading to falls, emotional lability causing friction with caregivers, apathy and depression which lead to reduced quality of life for patient and caregiver alike, and anosagnosia, which poses hazards for patient safety and independence.

I also have a longstanding interest in clinical quality measurement. I am the Chair of my Department’s Quality Improvement and Peer Review Committee because I asked for the job (not that I had much competition :>). For the last 3 years, I have been moving our department toward a culture of continuous self-study and targeted improvement projects with an aim toward optimizing care of Neurologic patients in the mid-Michigan area. I initiated and still organize our Departmental Morbidity and Mortality conferences, out of which has come several key initiatives: to improve communication and relationships with other clinical services in the hospital, to create additional order sets for medication uptapers that continue after discharge, and a better way to proactively review resident notes for completeness prior to signing off. I am also a member of the Health Team (the name of our faculty group practice) Quality Council, where I have been involved in the challenges of steering our group through the requirements of Meaningful Use and the newer 2nd stage MU mandates.

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