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Kenneth McConnochie

TitleProfessor
InstitutionSchool of Medicine and Dentistry
DepartmentPediatrics
AddressUniversity of Rochester Medical Center
School of Medicine and Dentistry
601 Elmwood Ave, Box 777
Rochester NY 14642
 
 Awards And Honors
1974     Award for "exemplary service"  | U.S. Public Health Service
1974     Award for "outstanding service"  | Lowndes County (Alabama) Health Services Association
1991     Finalist  | Robert Wood Johnson Foundation Health Policy Fellowship
2000     Physician Recognition Award  | Visiting Nurse Service of Rochester and Monroe County
2003     Health Care Advocacy Award for the Health-e-Access Telehealth Program  | Health Care Trustees of New York State
2006     Innovations in Service Award to the Health-e-Access Telehealth Program  | American Telemedicine Association
2009     Community Health Improvement Award Healthcare Association of New York State to the Health-e-Access Telemedicine Network  | Healthcare Association of New York State to the Health-e-Access
2010     Community Benefit Excellence Award, VHA Leadership Award to the Health-e-Access Telemedicine Network  | VHA Leadership Award to the Health-e-Access Telemedicine Network
2010     NOVA Award to the Health-e-Access Telemedicine Network  | American Hospital Association
 
 Overview
Dr. McConnochie's major research interests include:
1) Telemedicine in routine pediatric practice
2) Health Services Research
3) Clinical Epidemiology
4) Health Information Technology
5) Home nursing to improve care of acute childhood illness and avoid hospitalization
6) Development of a population health indicators based on administrative data bases
7) Clinical decision making for lower respiratory tract illness in infants
8) Disparities.

Inner city families, whose children are most burdened by morbidity and whose reliance on childcare is most important to their ability to improve economic circumstances, are those least equipped to deal with the challenge of illness in childcare. Using information technology that enables clinicians to evaluate and treat ill children at a distant childcare site, we have developed Health-e-Access a childcare telehealth access network. Health-e-Access is a novel, yet logical and efficient, approach to a serious problem of national as well as local significance. The service is currently operational in 7 linner-city childcare centers in Rochester. Evidence based on the 3 years of experience in the first 5 centers firmly supports high levels of acceptance and satisfaction with this innovation on the part of parents and childcare programs. Moreover, demonstrated reduction in child absence due to illness has been dramatic (62% reduction) and undoubtedly impacts parent work absence. We anticipate that employers, too, will recognize the value of this program.

Keys to expansion and long term sustainability of Health-e-Access are physician acceptance and insurance reimbursement. Physician acceptance can be anticipated if appropriate reimbursement is available and telehealth services can be integrated efficiently in primary care practice. Insurance reimbursement can be anticipated if telehealth services can be shown to reduce healthcare costs. We are involved in several studies of this health services model that are focused on integration in primary care practices, acceptance of telemedicine by clinicians and parents, continuity of care via telemedicine, impact on utilization patterns, applications of telemedicine and other health information technology in the ongoing management of chronic problems (e.g., asthma). Health care cost impact, and economic benefits for parent, schools, childcare programs and employers.

New funding will allow expansion of this program to include at total of 22 child sites and 10 primary care practices. Expansion will add urban and suburban elementary schools and suburban childcare to the 7 urban childcare centers already participating, and it will encompass over 8000 eligible children. Local insurance organizations have agreed to provide reimbursement for telemedicine visits in this expanded demonstration projected.

 
 Selected Publications
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  1. Shah MN, Gillespie SM, Wood N, Wasserman EB, Nelson DL, Dozier A, McConnochie KM. High-intensity telemedicine-enhanced acute care for older adults: an innovative healthcare delivery model. J Am Geriatr Soc. 2013 Nov; 61(11):2000-7.
    View in: PubMed
  2. Shah MN, Morris D, Jones CM, Gillespie SM, Nelson DL, McConnochie KM, Dozier A. A qualitative evaluation of a telemedicine-enhanced emergency care program for older adults. J Am Geriatr Soc. 2013 Apr; 61(4):571-6.
    View in: PubMed
  3. McConnochie KM. Development of an algorithm for the diagnosis of otitis media. Acad Pediatr. 2012 May; 12(3):159-60.
    View in: PubMed
  4. McConnochie KM, Wood NE, Herendeen NE, ten Hoopen CB, Roghmann KJ. Telemedicine in urban and suburban childcare and elementary schools lightens family burdens. Telemed J E Health. 2010 Jun; 16(5):533-42.
    View in: PubMed
  5. McConnochie K, Wood N, Herendeen N, ten Hoopen C, Denk L, Neuderfer J. Integrating telemedicine in urban pediatric primary care: provider perspectives and performance. Telemed J E Health. 2010 Apr; 16(3):280-8.
    View in: PubMed
  6. McConnochie KM, Wood NE, Herendeen NE, Ng PK, Noyes K, Wang H, Roghmann KJ. Acute illness care patterns change with use of telemedicine. Pediatrics. 2009 Jun; 123(6):e989-95.
    View in: PubMed
  7. Levine SR, McConnochie KM. Telemedicine for acute stroke: when virtual is as good as reality. Neurology. 2007 Aug 28; 69(9):819-20.
    View in: PubMed
  8. McConnochie KM, Tan J, Wood NE, Herendeen NE, Kitzman HJ, Roy J, Roghmann KJ. Acute illness utilization patterns before and after telemedicine in childcare for inner-city children: a cohort study. Telemed J E Health. 2007 Aug; 13(4):381-90.
    View in: PubMed
  9. Kopycka-Kedzierawski DT, Billings RJ, McConnochie KM. Dental screening of preschool children using teledentistry: a feasibility study. Pediatr Dent. 2007 May-Jun; 29(3):209-13.
    View in: PubMed
  10. McConnochie KM. Potential of telemedicine in pediatric primary care. Pediatr Rev. 2006 Sep; 27(9):e58-65.
    View in: PubMed
  11. McConnochie KM, Conners GP, Brayer AF, Goepp J, Herendeen NE, Wood NE, Thomas A, Ahn DS, Roghmann KJ. Differences in diagnosis and treatment using telemedicine versus in-person evaluation of acute illness. Ambul Pediatr. 2006 Jul-Aug; 6(4):187-95; discussion 196-7.
    View in: PubMed
  12. McConnochie KM, Conners GP, Brayer AF, Goepp J, Herendeen NE, Wood NE, Thomas A, Ahn DS, Roghmann KJ. Effectiveness of telemedicine in replacing in-person evaluation for acute childhood illness in office settings. Telemed J E Health. 2006 Jun; 12(3):308-16.
    View in: PubMed
  13. Halterman JS, McConnochie KM, Conn KM, Yoos HL, Callahan PM, Neely TL, Szilagyi PG. A randomized trial of primary care provider prompting to enhance preventive asthma therapy. Arch Pediatr Adolesc Med. 2005 May; 159(5):422-7.
    View in: PubMed
  14. McConnochie KM, Wood NE, Kitzman HJ, Herendeen NE, Roy J, Roghmann KJ. Telemedicine reduces absence resulting from illness in urban child care: evaluation of an innovation. Pediatrics. 2005 May; 115(5):1273-82.
    View in: PubMed
  15. Halterman JS, Szilagyi PG, Yoos HL, Conn KM, Kaczorowski JM, Holzhauer RJ, Lauver SC, Neely TL, Callahan PM, McConnochie KM. Benefits of a school-based asthma treatment program in the absence of secondhand smoke exposure: results of a randomized clinical trial. Arch Pediatr Adolesc Med. 2004 May; 158(5):460-7.
    View in: PubMed
  16. Halterman JS, McConnochie KM, Conn KM, Yoos HL, Kaczorowski JM, Holzhauer RJ, Allan M, Szilagyi PG. A potential pitfall in provider assessments of the quality of asthma control. Ambul Pediatr. 2003 Mar-Apr; 3(2):102-5.
    View in: PubMed
  17. Stevens TP, Chess PR, McConnochie KM, Sinkin RA, Guillet R, Maniscalco WM, Fisher SG. Survival in early- and late-term infants with congenital diaphragmatic hernia treated with extracorporeal membrane oxygenation. Pediatrics. 2002 Sep; 110(3):590-6.
    View in: PubMed
  18. Brayer AF, Conners GP, Kaur T, McConnochie KM. Is care in alternative settings safe for infants with possible serious bacterial infection? Clin Pediatr (Phila). 2002 May; 41(4):239-47.
    View in: PubMed
  19. Halterman JS, Yoos HL, Kaczorowski JM, McConnochie K, Holzhauer RJ, Conn KM, Lauver S, Szilagyi PG. Providers underestimate symptom severity among urban children with asthma. Arch Pediatr Adolesc Med. 2002 Feb; 156(2):141-6.
    View in: PubMed
  20. Stevens TP, Sinkin RA, Hall CB, Maniscalco WM, McConnochie KM. Respiratory syncytial virus and premature infants born at 32 weeks' gestation or earlier: hospitalization and economic implications of prophylaxis. Arch Pediatr Adolesc Med. 2000 Jan; 154(1):55-61.
    View in: PubMed
  21. McConnochie KM, Conners GP, Lu E, Wilson C. How commonly are children hospitalized for dehydration eligible for care in alternative settings? Arch Pediatr Adolesc Med. 1999 Dec; 153(12):1233-41.
    View in: PubMed
  22. Russo MJ, McConnochie KM, McBride JT, Szilagyi PG, Brooks AM, Roghmann KJ. Increase in admission threshold explains stable asthma hospitalization rates. Pediatrics. 1999 Sep; 104(3 Pt 1):454-62.
    View in: PubMed
  23. Brooks AM, McBride JT, McConnochie KM, Aviram M, Long C, Hall CB. Predicting deterioration in previously healthy infants hospitalized with respiratory syncytial virus infection. Pediatrics. 1999 Sep; 104(3 Pt 1):463-7.
    View in: PubMed
  24. McConnochie KM, Russo MJ, McBride JT, Szilagyi PG, Brooks AM, Roghmann KJ. Socioeconomic variation in asthma hospitalization: excess utilization or greater need? Pediatrics. 1999 Jun; 103(6):e75.
    View in: PubMed
  25. McConnochie KM, Russo MJ, McBride JT, Szilagyi PG, Brooks AM, Roghmann KJ. How commonly are children hospitalized for asthma eligible for care in alternative settings? Arch Pediatr Adolesc Med. 1999 Jan; 153(1):49-55.
    View in: PubMed
  26. McConnochie KM, Roghmann KJ, Liptak GS. Diagnostic clusters in infants as child health outcomes. Variation among socioeconomic areas in one community. Eval Health Prof. 1998 Sep; 21(3):332-61.
    View in: PubMed
  27. McConnochie KM, Callahan CM, Conners GP, Roghmann KJ. Estimating risk associated with care in alternative settings: deterioration among children hospitalized. Arch Pediatr Adolesc Med. 1998 Jul; 152(7):651-8.
    View in: PubMed
  28. McBride JT, McConnochie KM. RSV, recurrent wheezing, and ribavirin. Pediatr Pulmonol. 1998 Mar; 25(3):145-6.
    View in: PubMed
  29. Garfunkel LC, Byrd RS, McConnochie KM, Auinger P. Resident and family continuity in pediatric continuity clinic: nine years of observation. Pediatrics. 1998 Jan; 101(1 Pt 1):37-42.
    View in: PubMed
  30. Kitzman H, Olds DL, Henderson CR, Hanks C, Cole R, Tatelbaum R, McConnochie KM, Sidora K, Luckey DW, Shaver D, Engelhardt K, James D, Barnard K. Effect of prenatal and infancy home visitation by nurses on pregnancy outcomes, childhood injuries, and repeated childbearing. A randomized controlled trial. JAMA. 1997 Aug 27; 278(8):644-52.
    View in: PubMed
  31. McConnochie KM, Roghmann KJ, Liptak GS. Socioeconomic variation in discretionary and mandatory hospitalization of infants: an ecologic analysis. Pediatrics. 1997 Jun; 99(6):774-84.
    View in: PubMed
  32. Liptak GS, McConnochie KM, Roghmann KJ, Panzer JA. Decline of pediatric admissions with Haemophilus influenzae type b in New York State, 1982 through 1993: relation to immunizations. J Pediatr. 1997 Jun; 130(6):923-30.
    View in: PubMed
  33. McConnochie KM, Roghmann KJ, Kitzman HJ, Liptak GS, McBride JT. Ensuring high-quality alternatives while ending pediatric inpatient care as we know it. Arch Pediatr Adolesc Med. 1997 Apr; 151(4):341-9.
    View in: PubMed
  34. Walsh EE, McConnochie KM, Long CE, Hall CB. Severity of respiratory syncytial virus infection is related to virus strain. J Infect Dis. 1997 Apr; 175(4):814-20.
    View in: PubMed
  35. Christy C, McConnochie KM, Zernik N, Brzoza S. Impact of an algorithm-guided nurse intervention on the use of immunization opportunities. Arch Pediatr Adolesc Med. 1997 Apr; 151(4):384-91.
    View in: PubMed
  36. McConnochie KM, Roghmann KJ, Liptak GS. Avoidable morbidity in infants. A classification based on diagnoses in administrative databases. Med Care. 1997 Mar; 35(3):237-54.
    View in: PubMed
  37. Christy C, Pulcino ML, Lanphear BP, McConnochie KM. Screening for tuberculosis infection in urban children. Arch Pediatr Adolesc Med. 1996 Jul; 150(7):722-6.
    View in: PubMed
  38. McConnochie KM, Roghmann KJ, Liptak GS. Hospitalization for lower respiratory tract illness in infants: variation in rates among counties in New York State and areas within Monroe County. J Pediatr. 1995 Feb; 126(2):220-9.
    View in: PubMed
  39. Campbell JR, McConnochie KM, Weitzman M. Lead screening among high-risk urban children. Are the 1991 Centers for Disease Control and Prevention guidelines feasible? Arch Pediatr Adolesc Med. 1994 Jul; 148(7):688-93.
    View in: PubMed
  40. McConnochie K, Bevan C, Newcombe RG, Lyons JP, Skidmore JW, Wagner JC. A study of Spanish sepiolite workers. Thorax. 1993 Apr; 48(4):370-4.
    View in: PubMed
  41. Harris KM, McConnochie K, Adams H. The computed tomographic appearances in chronic berylliosis. Clin Radiol. 1993 Jan; 47(1):26-31.
    View in: PubMed
  42. McConnochie KM, Roghmann KJ, Pasternack J. Developing prediction rules and evaluating observation patterns using categorical clinical markers: two complementary procedures. Med Decis Making. 1993 Jan-Mar; 13(1):30-42.
    View in: PubMed
  43. McConnochie KM, Roghmann KJ. Immunization opportunities missed among urban poor children. Pediatrics. 1992 Jun; 89(6 Pt 1):1019-26.
    View in: PubMed
  44. Tariq SM, McConnochie K, Lai JH, Kao SJ, Lee SC, Shen CY. Intercostal arteriovenous fistula due to pleural biopsy. Thorax. 1991 May; 46(5):400.
    View in: PubMed
  45. Adams H, Bernard MS, McConnochie K. An appraisal of CT pulmonary density mapping in normal subjects. Clin Radiol. 1991 Apr; 43(4):238-42.
    View in: PubMed
  46. Hall CB, Walsh EE, Schnabel KC, Long CE, McConnochie KM, Hildreth SW, Anderson LJ. Occurrence of groups A and B of respiratory syncytial virus over 15 years: associated epidemiologic and clinical characteristics in hospitalized and ambulatory children. J Infect Dis. 1990 Dec; 162(6):1283-90.
    View in: PubMed
  47. Tariq SM, Morrison D, McConnochie K. Solitary bronchial amyloid presenting with haemoptysis. Eur Respir J. 1990 Nov; 3(10):1230-1.
    View in: PubMed
  48. McConnochie KM, Roghmann KJ, Pasternack J, Monroe DJ, Monaco LP. Prediction rules for selective radiographic assessment of extremity injuries in children and adolescents. Pediatrics. 1990 Jul; 86(1):45-57.
    View in: PubMed
  49. McConnochie KM, Hall CB, Walsh EE, Roghmann KJ. Variation in severity of respiratory syncytial virus infections with subtype. J Pediatr. 1990 Jul; 117(1 Pt 1):52-62.
    View in: PubMed
  50. McConnochie K, Edwards JH, Fifield R. Ispaghula sensitization in workers manufacturing a bulk laxative. Clin Exp Allergy. 1990 Mar; 20(2):199-202.
    View in: PubMed
  51. Tariq S, McConnochie K, Mahy NJ, Williams WJ. Silent sarcoidosis and clubbing. Sarcoidosis. 1990 Mar; 7(1):67-70.
    View in: PubMed
  52. Makker H, McConnochie K, Gibbs AR. Postirradiation pulmonary fibrosis complicated by aspergilloma and bronchocentric granulomatosis. Thorax. 1989 Aug; 44(8):676-7.
    View in: PubMed
  53. McConnochie K, O'Sullivan M, Khalil JF, Pritchard MH, Gibbs AR. Aspergillus colonization of pulmonary rheumatoid nodule. Respir Med. 1989 Mar; 83(2):157-60.
    View in: PubMed
  54. McConnochie KM, Roghmann KJ. Wheezing at 8 and 13 years: changing importance of bronchiolitis and passive smoking. Pediatr Pulmonol. 1989; 6(3):138-46.
    View in: PubMed
  55. McConnochie K, Simonato L, Mavrides P, Christofides P, Mitha R, Griffiths DM, Wagner JC. Mesothelioma in Cyprus. IARC Sci Publ. 1989; (90):411-9.
    View in: PubMed
  56. McConnochie K, Williams WR, Kilpatrick GS, Wiliams WJ. Chronic beryllium disease in identical twins. Br J Dis Chest. 1988 Oct; 82(4):431-5.
    View in: PubMed
  57. McConnochie KM, Hall CB, Barker WH. Lower respiratory tract illness in the first two years of life: epidemiologic patterns and costs in a suburban pediatric practice. Am J Public Health. 1988 Jan; 78(1):34-9.
    View in: PubMed
  58. Rajan KG, Reynolds SP, McConnochie K, White JP. Localised amyloid--presenting as bronchial asthma. Eur J Respir Dis. 1987 Sep; 71(3):213-5.
    View in: PubMed
  59. McConnochie K, Simonato L, Mavrides P, Christofides P, Pooley FD, Wagner JC. Mesothelioma in Cyprus: the role of tremolite. Thorax. 1987 May; 42(5):342-7.
    View in: PubMed
  60. McConnochie KM, Roghmann KJ. Breast feeding and maternal smoking as predictors of wheezing in children age 6 to 10 years. Pediatr Pulmonol. 1986 Sep-Oct; 2(5):260-8.
    View in: PubMed
  61. McConnochie KM, Roghmann KJ. Parental smoking, presence of older siblings, and family history of asthma increase risk of bronchiolitis. Am J Dis Child. 1986 Aug; 140(8):806-12.
    View in: PubMed
  62. Mark JD, McBride JT, Brooks JG, McConnochie KM, Hall WJ. Airway hyperreactivity and a history of clinical manifestations of asthma in childhood. Pediatr Pulmonol. 1986 May-Jun; 2(3):170-4.
    View in: PubMed
  63. McConnochie KM, Mark JD, McBride JT, Hall WJ, Brooks JG, Klein SJ, Miller RL, McInerny TK, Nazarian LF, MacWhinney JB. Normal pulmonary function measurements and airway reactivity in childhood after mild bronchiolitis. J Pediatr. 1985 Jul; 107(1):54-8.
    View in: PubMed
  64. McConnochie KM, Roghmann KJ. Predicting clinically significant lower respiratory tract illness in childhood following mild bronchiolitis. Am J Dis Child. 1985 Jun; 139(6):625-31.
    View in: PubMed
  65. Edwards JH, McConnochie K, Davies BH. Skin-test reactivity to egg protein--exposure by inhalation compared with ingestion. Clin Allergy. 1985 Mar; 15(2):147-50.
    View in: PubMed
  66. Anas NG, McBride JT, Boettrich C, McConnochie K, Brooks JG. Ventilatory chemosensitivity in subjects with a history of childhood cyanotic breath-holding spells. Pediatrics. 1985 Jan; 75(1):76-9.
    View in: PubMed
  67. McConnochie KM, Roghmann KJ. Bronchiolitis as a possible cause of wheezing in childhood: new evidence. Pediatrics. 1984 Jul; 74(1):1-10.
    View in: PubMed
  68. Edwards JH, McConnochie K, Trotman DM, Collins G, Saunders MJ, Latham SM. Allergy to inhaled egg material. Clin Allergy. 1983 Sep; 13(5):427-32.
    View in: PubMed
  69. McConnochie KM. Bronchiolitis. What's in the name? Am J Dis Child. 1983 Jan; 137(1):11-3.
    View in: PubMed
  70. Finn R, McConnochie K, Box DE, Fennerty AG, Green JR. Blood pressure and salt intake: an intra-population study. Lancet. 1981 May 16; 1(8229):1097.
    View in: PubMed
  71. Hale FA, McConnochie KM, Chapman RJ, Whiting RD. The impact of a required preceptorship on senior medical students. J Med Educ. 1979 May; 54(5):396-401.
    View in: PubMed

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