The growth of a healthcare performance optimization professional : Dr. Lecia Scotford? Hundreds of millions of dollars in construction spending is being invested in healthcare facilities around the state, most of it in Anchorage and the Mat-Su, though a new dental facility was recently completed in Dillingham. Dillingham Home to New Dental Facility Bristol Bay Area Health Corporation, or BBAHC, in September opened doors to a new, state-of-the-art dental health facility and administrative complex in Dillingham. The facility is located on the grounds of the Kanakanak Hospital and will serve the region. The dental clinic project can be attributed to BBAHC Chief Operating Officer Lecia Scotford, MD, as well as her talented projects department team.

The project took two years from beginning to end. The business plan was created during the summer of 2014 and was approved that fall. The team broke ground in June 2015. The building was completed and operational in September 2016. The building design was a partnership between BBAHC, architectural firm Livingston Sloan, and its engineering consultant teams as well as initial assistance from the Alaska Department of Environmental Conservation. The 15,531-square-foot, two-story building meets the US Green Building Council’s Leadership in Energy and Environmental Design standards, meaning it uses less water and energy in order to reduce greenhouse gas emissions.



The building insulation exceeds design requirements for the area and is complete with energy efficient windows. The foundation is built to withstand a 9.2-magnitude earthquake with minimal damage. The first floor is entirely for dental services. The clinic is ultramodern, complete with hightech equipment and twelve brand new operatories, up from seven chairs that were previously divided between the dental annex and an extra room in the Kanakanak Hospital. The second floor is occupied by administrative support staff, including a business office, finance department, and an area for medical records. Alaska Regional Hospital Renovation Alaska Regional Hospital in Anchorage got a $70 million capital grant from HCA, its parent company, in 2014. The money paid for a complete facelift for the seven-floor, nearly 330,000-square-foot building. Tina Miller, chief operating officer at Alaska Regional, says no beds were added to the facility during this upgrade, but the facility will feel refreshed, have more efficient features such as new boilers and generators, and has new equipment to better serve its customers.

Contractors who specialize in hospital equipment largely did the equipment and in – frastructure upgrades, Miller says. National construction contractor Layton Construc – tion Company completed the emergency BBAHC President and CEO Robert Clark and board members surround board Chair H. Sally Smith and First Vice Chair Mark E. Angasan as they cut the ceremonial ribbon, signifying the official opening of the new dental health facility in Dillingham. Photo by Brian Adams BUILDING ALASKA SPECIAL SECTION 72 Alaska Business Monthly

Bristol Bay Area Health Corporation P.O. Box130 Dillingham, Alaska 99576 Lecia Scotford, MD, MHA; lscotford@bbahc.org Executive Vice-President and Chief Operations Officer Testimony for the House Natural Resources Subcommittee on Indian, Insular and Alaska Native Affairs regarding H.R. 4289 May 18, 2016 The Bristol Bay Area Health Corporation (BBAHC) is pleased to appear before this Subcommittee in support of H.R. 4289, legislation introduced by Representative Don Young which would require the Secretary of Health and Human Services to transfer certain Indian Health Service (IHS) property to BBAHC by warranty deed. The property is critically important to BBAHC’s construction and operation of a new free-standing dental clinic.

The BBAHC is in the process of constructing a new, modern, up-to-date facility that will be available later this year to provide significantly more dental services to BBAHC’s 8,000 member service population. We note that Senators Murkowski and Sullivan have introduced a companion bill, S. 2421, and we thank our entire delegation for their support on this matter. Both bills also include a warranty deed transfer provision for the Tanana Tribal Council. BBAHC has for many years carried out a comprehensive health care delivery program at the federally owned Kanakanak Hospital compound in Dillingham. BBAHC has done so on behalf of its member villages in accordance with the Alaska Tribal Health Compact and Funding Agreements with the IHS under the Indian Self-Determination and Education Assistance Act (ISDEAA). These services include dental care.

The BBAHC reluctantly accepted the IHS quitclaim deed transferring title to the property in order not to miss last year’s construction season. However, the quitclaim deed includes extensive terms and conditions that give IHS the right to approve mortgaging, encumbering, leasing, or otherwise transferring any interest in the property, or making major changes or capital improvements in the property. Any breach of these terms and conditions, such as not getting IHS permission for making changes in the property, triggers an immediate right of entry and reversion of title back to the IHS. These terms and conditions are characterized in the deed as covenants running with the land. Thus, for example, if BBAHC were to approach a bank for a construction or improvement loan, and as a consequence would have to enter into a deed of trust to secure the loan, IHS must give its permission.

There is precedent for H.R 4289. Public Law 114-56, enacted on September 30, 2015, requires the transfer of certain property to the Yukon Kuskokwim Health Corporation using virtually the same language as S. 2421 except for the description of the property to be transferred. In addition, Congress has enacted property transfers via warranty deed from IHS to the Maniilaq Association (PL 112-263) and the Alaska Native Tribal Health Consortium (PL 113-68). We thank you for scheduling a hearing on this legislation to transfer via warranty deed the 1.474 acre parcel of land site of our dental clinic. As you know, the Senate Committee on Indian Affairs has had a hearing on the companion legislation and has reported the bill out of Committee. We urge that action be expedited on this bill, as the clock is ticking on this election year-shortened session of Congress

Process With a centralised communication tool: Tools that update automatically and allow multiple communication at once should be equipped in the hospitals. It’s a great way to save money by choosing a solution that is accessible from any mobile device. That would make required info handy for staff to access it wherever they want. Lecia Scotford is a results oriented and experienced healthcare strategic planner. Skilled in communication, performance optimization, interpersonal ssing and implementing dynamic changes effortlessly.