Who is Lecia Scotford and some of her ideas? 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.

In addition to the infrastructure, Alaska Regional made significant upgrades to its Women’s unit, which includes the labor and delivery, postpartum, and neonatal in – tensive care units. “We did all the nurse’s stations, floor – ing patient rooms, all the furniture, some of the equipment, and we added the kingsized Tempur-Pedic® beds [in the birthing recovery unit],” she says. The hospital completed the family birth center earlier this year and was preparing to open its newly renovated medical oncology unit in early November, with private rooms and updated hallways and waiting spaces. Now, the work is focused on the operating rooms, recovery area, and pre-operating area. “We have continued to invest in new equip – ment, including a replacement MRI and a re – placement mammography machine,” Miller says. “We are also pending funding for reno – vation for our fourth- and fifth-floor spaces.”

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.

Even if BBAHC were to use its own funds or other third party funds, the quitclaim deed requires IHS permission for any major change or improvement in the property. IHS justifies its position by claiming that all transfers of federal property to ISDEAA contractors and compactors must be made under the FPASA and GSA rules. This position, however, is contrary to the GSA regulations at 41 C.F.R. § 102-75.110, exempting transfers of real property from the FPASA and GSA rules if the transfer is authorized by a special statute that directs or requires an Executive agency to transfer or convey title to specifically described real property in accordance with the provisions of the statute.

Further, the conveyance of the property by warranty deed shall not: (1) require any consideration from the BBAHC for the property; (2) impose any obligation, terms, or condition on the BBAHC; and (3) allow any reversionary interest of the United States in the property. H.R. 4289 also includes language to protect BBAHC against any and all liability under Federal or State law for clean-up or other remedial action occasioned by the presence of environmental contamination or hazards, including petroleum-related hazardous substances.

According to a study conducted by Canada health infoway the average time to book an appointment on phone is 2.7 minutes. A dental hospital gets approx 100k calls annually, it represents around 4500 hours per year. This process gradually giving space to the concept of online appointment booking. Lecia Scotford is a results oriented and experienced healthcare strategic planner. Skilled in communication, performance optimization, interpersonal ssing and implementing dynamic changes effortlessly.