Rachel Ancona, PhD, MS

Rachel Ancona, PhD, MS

Assistant Professor, Emergency Medicine

Bio

Dr. Ancona’s research interests focuses on the intersection of public health and emergency medicine. Emergency departments (EDs) are the medical safety net in the United States, as the only medical setting required to accept all patients for care regardless of their ability to pay for services. As such, EDs are often the only medical touch-point for patients not in regular or preventative medical care. This makes EDs an ideal setting for many public health interventions. However, for interventions to be effective, they need to be feasible and pragmatic. Dr. Ancona is specifically interested in leveraging electronic medical record data and machine learning to automate identification of patients with unmet medical and/or social needs and linking them to care.

Education & Training

PhD, Epidemiology: University of Cincinnati, Cincinnati OH

MS, Epidemiology: University of Cincinnati, Cincinnati OH

BS, Biology and Psychology (Minor): University of Cincinnati, Cincinnati OH

Research Interests

Public Health in Emergency Medicine

Social Determinants of Health

Leveraging Existing Data for Clinical and Observational Research

Publications

  1. Freiermuth CE, Ancona RM, Brown JL, Punches BE, Ryan SA, Ingram T, Lyons MS. Evaluation of a large-scale health department naloxone distribution program: Per capita naloxone distribution and overdose morality. PLoS One. 2023;18(8):e0289959. doi: 10.1371/journal.pone.0289959. eCollection 2023. PubMed PMID: 37566565; PubMed Central PMCID: PMC10420337.
  2. Griffey RT, Schneider RM, Girardi M, Yeary J, McCammon C, Frawley L, Ancona R, Cruz-Bravo P. The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis): Impacts on ED operational metrics. Acad Emerg Med. 2023 Aug;30(8):800-808. doi: 10.1111/acem.14685. Epub 2023 Feb 27. PubMed PMID: 36775281.
  3. Freiermuth CE, Kisor DF, Lambert J, Braun R, Frey JA, Bachmann DJ, Bischof JJ, Lyons MS, Pantalon MV, Punches BE, Ancona R, Sprague JE. Genetic Variants Associated With Opioid Use Disorder. Clin Pharmacol Ther. 2023 May;113(5):1089-1095. doi: 10.1002/cpt.2864. Epub 2023 Feb 19. PubMed PMID: 36744646.
  4. Faryar KA, Braun R, Ancona RM, Freiermuth C, Lyons MS. Acceptance of HIV pre-exposure prophylaxis (PrEP) referral among a sample of PrEP-eligible emergency department patients. Am J Emerg Med. 2022 Oct;60:152-155. doi: 10.1016/j.ajem.2022.07.055. Epub 2022 Aug 1. PubMed PMID: 35973343.
  5. Punches BE, Stolz U, Freiermuth CE, Ancona RM, McLean SA, House SL, Beaudoin FL, An X, Stevens JS, Zeng D, Neylan TC, Clifford GD, Jovanovic T, Linnstaedt SD, Germine LT, Bollen KA, Rauch SL, Haran JP, Storrow AB, Lewandowski C, Musey PI Jr, Hendry PL, Sheikh S, Jones CW, Kurz MC, Gentile NT, McGrath ME, Hudak LA, Pascual JL, Seamon MJ, Harris E, Chang AM, Pearson C, Peak DA, Merchant RC, Domeier RM, Rathlev NK, O’Neil BJ, Sanchez LD, Bruce SE, Pietrzak RH, Joormann J, Barch DM, Pizzagalli DA, Smoller JW, Luna B, Harte SE, Elliott JM, Kessler RC, Ressler KJ, Koenen KC, Lyons MS. Predicting at-risk opioid use three months after ed visit for trauma: Results from the AURORA study. PLoS One. 2022;17(9):e0273378. doi: 10.1371/journal.pone.0273378. eCollection 2022. PubMed PMID: 36149896; PubMed Central PMCID: PMC9506640.
  6. Lane BH, Ancona RM, Kreitzer N, Leenellett E. Cost awareness intervention for combat gauze utilization in an academic trauma center emergency department. Am J Emerg Med. 2022 Apr;54:312-314. doi: 10.1016/j.ajem.2021.05.031. Epub 2021 May 14. PubMed PMID: 34053785; NIHMSID:NIHMS1772048.
  7. Faryar KA, Braun R, Ancona RM, Ajayi E, Bryant W, Rehman S, Sall H, Lyons MS, Huaman MA. Emergency department screening for latent tuberculosis infection. Am J Emerg Med. 2022 Apr;54:323.e5-323.e8. doi: 10.1016/j.ajem.2021.09.076. Epub 2021 Oct 1. PubMed PMID: 34756647.
  8. Faryar KA, Ancona RM, Luketic KR, Braun RS, Lyons MS. Missed HIV diagnoses when screening only emergency department patients who have blood samples obtained for other clinical purposes. Am J Emerg Med. 2021 Dec;50:102-105. doi: 10.1016/j.ajem.2021.07.031. Epub 2021 Jul 21. PubMed PMID: 34332216.
  9. Faryar KA, Ancona RM, Braun RS, Brown JL, Sickles RK, Lyons MS. Estimated proportion of an urban academic emergency department patient population eligible for HIV preexposure prophylaxis. Am J Emerg Med. 2021 Oct;48:198-202. doi: 10.1016/j.ajem.2021.04.087. Epub 2021 May 4. PubMed PMID: 33975131.
  10. Haukoos JS, Lyons MS, Rothman RE, White DAE, Hopkins E, Bucossi M, Ruffner AH, Ancona RM, Hsieh YH, Peterson SC, Signer D, Toerper MF, Saheed M, Pfeil SK, Todorovic T, Al-Tayyib AA, Bradley-Springer L, Campbell JD, Gardner EM, Rowan SE, Sabel AL, Thrun MW. Comparison of HIV Screening Strategies in the Emergency Department: A Randomized Clinical Trial. JAMA Netw Open. 2021 Jul 1;4(7):e2117763. doi: 10.1001/jamanetworkopen.2021.17763. PubMed PMID: 34309668; PubMed Central PMCID: PMC8314142.
  11. Punches BE, Ancona RM, Freiermuth CE, Brown JL, Lyons MS. Incidence of opioid use disorder in the year after discharge from an emergency department encounter. J Am Coll Emerg Physicians Open. 2021 Jun;2(3):e12476. doi: 10.1002/emp2.12476. eCollection 2021 Jun. PubMed PMID: 34189517; PubMed Central PMCID: PMC8219283.
  12. Faryar KA, Ancona RM, Reau Z, Lyss SB, Braun RS, Rademaker T, Sickles RK, Lyons MS. HIV detection by an emergency department HIV screening program during a regional outbreak among people who inject drugs. PLoS One. 2021;16(5):e0251756. doi: 10.1371/journal.pone.0251756. eCollection 2021. PubMed PMID: 34003855; PubMed Central PMCID: PMC8130938.
  13. Lane BH, Ancona RM, Lyons MS, Punches BE. Variation in Participation in Nurse-Driven Emergency Department Hepatitis C Screening. Adv Emerg Nurs J. 2021 Apr-Jun 01;43(2):138-144. doi: 10.1097/TME.0000000000000349. PubMed PMID: 33915565.
  14. Lane BH, Lyons MS, Stolz U, Ancona RM, Ryan RJ, Freiermuth CE. Naloxone provision to emergency department patients recognized as high-risk for opioid use disorder. Am J Emerg Med. 2021 Feb;40:173-176. doi: 10.1016/j.ajem.2020.10.061. Epub 2020 Nov 11. PubMed PMID: 33243535.
  15. Shaw I, Faryar KA, Ryan RJ, Ancona RM, Fernandez FJ, Lyons MS. Evaluation of low-intensity initiatives to improve linkage to care for emergency department patients with opioid use disorder. Am J Emerg Med. 2020 Nov;38(11):2391-2394. doi: 10.1016/j.ajem.2020.09.007. Epub 2020 Sep 7. PubMed PMID: 33046292.
  16. Ancona RM, Habib D, Faryar KA, Ruffner AH, Hart KW, Lyons MS. Clarifying the volume of estimated need for public health and prevention services within an emergency department population. J Am Coll Emerg Physicians Open. 2020 Oct;1(5):845-851. doi: 10.1002/emp2.12168. eCollection 2020 Oct. PubMed PMID: 33145530; PubMed Central PMCID: PMC7593451.
  17. Ruffner AH, Ancona RM, Hamilton C, Fernandez FJ, Faryar KA, Lane BH, Lyons MS. Identifying ED patients with previous abnormal HIV or hepatitis C test results who may require additional services. Am J Emerg Med. 2020 Sep;38(9):1831-1833. doi: 10.1016/j.ajem.2020.05.020. Epub 2020 May 11. PubMed PMID: 32739853.
  18. Kreitzer N, Ancona R, McCullumsmith C, Kurowski BG, Foreman B, Ngwenya LB, Adeoye O. The Effect of Antidepressants on Depression After Traumatic Brain Injury: A Meta-analysis. J Head Trauma Rehabil. 2019 May/Jun;34(3):E47-E54. doi: 10.1097/HTR.0000000000000439. PubMed PMID: 30169440; PubMed Central PMCID: PMC8730802.
  19. Kasaie P, David Kelton W, Ancona RM, Ward MJ, Froehle CM, Lyons MS. Lessons Learned From the Development and Parameterization of a Computer Simulation Model to Evaluate Task Modification for Health Care Providers. Acad Emerg Med. 2018 Feb;25(2):238-249. doi: 10.1111/acem.13314. Epub 2017 Nov 11. PubMed PMID: 28925587; PubMed Central PMCID: PMC5880547.
  20. Rentz MF, Ruffner AH, Ancona RM, Hart KW, Kues JR, Barczak CM, Lindsell CJ, Fichtenbaum CJ, Lyons MS. Pilot Integration of HIV Screening and Healthcare Settings with Multi- Component Social Network and Partner Testing for HIV Detection. Curr HIV Res. 2017 Nov 23;15(5):372-381. doi: 10.2174/1570162X15666171017121301. PubMed PMID: 29046159.
  21. Haas SM, Perazzo JD, Ruffner AH, Ancona RM, Lyons M. The Know∗Now Project: Facilitated Serosorting in HIV-Status Sexual Partner Communication. AIDS Educ Prev. 2017 Oct;29(5):432-442. doi: 10.1521/aeap.2017.29.5.432. PubMed PMID: 29068717.
  22. Butler MM, Ancona RM, Beauchamp GA, Yamin CK, Winstanley EL, Hart KW, Ruffner AH, Ryan SW, Ryan RJ, Lindsell CJ, Lyons MS. Emergency Department Prescription Opioids as an Initial Exposure Preceding Addiction. Ann Emerg Med. 2016 Aug;68(2):202-8. doi: 10.1016/j.annemergmed.2015.11.033. Epub 2016 Feb 11. PubMed PMID: 26875061; PubMed Central PMCID: PMC4958587.

Dr. Ancona’s complete bibliography can be found at:

https://www.ncbi.nlm.nih.gov/myncbi/1bQhji6u-ngEu-/bibliography/public/