Who is Dr. Lecia Scotford and some of her accomplishments? 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.



Much of the money went toward new boilers, air-handling units, three generators, and a twenty-thousand-gallon fuel tank, Miller says, “so we have redundancy in the case of an emergency or power outage.” Making infrastructure repairs to a busy hospital is a challenge, she says, but it was necessary both to be compatible with new industry standards for backup power and because some of the machinery was out – dated and in need of replacement. “We often refer to it as making repairs on your car while it’s going down the road— and still maintaining the safety of those individuals riding in the vehicles,” she says. Power must be switched over to test gen – erators, which is possibly the most difficult aspect of the construction job, considering many patients are on respirators or moni – tors that are connected to power. Miller says employees and administration pick a time of day that is well staffed and generally calm to test or connect the new equipment.

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.

The Secretary will retain any and all liability for environmental contamination in existence on the property prior to the transfer of title to BBAHC. Language is included to provide the Secretary with and easement and access to the property as reasonably necessary to satisfy any retained obligation or liability of the Secretary. Finally, the Secretary must comply with the notice of hazardous substance activity and warranty requirements of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA).

Simplify Communications with On-call Physicians: According to a survey by physician wellness services, nearly one third of physicians have issues with on-call scheduling. The quality of communication with patients directly affects the hospital performance. Dr. Lecia Scotford is a results oriented and experienced healthcare strategic planner. Skilled in communication, performance optimization, interpersonal ssing and implementing dynamic changes effortlessly.

Miami En Bloc surgeons? What is en bloc capsulectomy? En bloc capsulectomy is a procedure in which the scar tissue around the implant, known as the breast capsule, is removed in one piece with the implant enclosed within it. The benefit to removing the capsule en bloc is that it prevents the implant (or implant material) from coming into contact with normal tissues left behind. This is especially useful in the case of implant rupture, but also may benefit those concerned about implant toxicity and breast implant illness. Total capsulectomy means removing the entire capsule, but not necessarily in one piece. In experienced hands, breast lift procedures can go a long way toward restoring a natural breast appearance. However, a lift creates new scars and may be associated with more surgical risk. So it’s really important to make this decision in conjunction with your surgeon, in person, so that you understand what to expect and what other patients like you have experienced.

As such, en bloc capsulectomy is usually only called for in very specific circumstances, such as patients with BIA-ALCL or those with a ruptured implant. For other patients, it is unnecessary because we can still remove the implant and its entire capsule with a “complete capsulectomy” implant removal procedure. When patients express concern about removing all tissue that has been in direct contact with their implants, I typically recommend a complete capsulectomy. (In fact, I recommend this method for all of my breast implant removal patients.) This approach results in both the implant and capsule being completely removed from your body, in one operation—just not in one piece. With this technique, I lift the tissues off of the capsule up to the midway point and then make a small incision in the capsule through which I remove the intact implant. Next, I clamp the capsule closed and remove it. This allows the capsule of scar tissue to collapse slightly so I do not have to make such a large incision. An en bloc capsulectomy is most appropriate when a silicone implant rupture has occurred so as to avoid the contents of the implant leaking into other parts of the body. Similarly, in cases of BIA-ALCL, a non-Hodgkins lymphoma that has been associated with breast implants, the capsule should be removed en bloc to ensure the cancerous cells are no longer in the body. Find additional info on https://www.enblocsurgeons.com/region/miami/.

Can I get new breast implants after an en bloc capsulectomy? Understandably, many patients facing an en bloc capsulectomy for capsular contracture or implant rupture are concerned about losing the look they have become used to over time. Fortunately in most cases, a new implant can safely be placed after an en bloc capsulectomy. An alternative to having new implants placed is a technique called fat grafting. This procedure uses a patient’s own fat from elsewhere on her body and transfers it to the breast, increasing the volume and producing a more pleasing contour. Candidates for fat grafting must have enough fat to harvest, so this procedure may not be ideal for every patient. You may also benefit from a breast lift after capsulectomy and implant removal. Dr. Schwartz and his caring team are committed to helping patients achieve their ideal outcome and have a long list of available treatments, techniques, and procedures at their disposal to accomplish this. Whether you are looking to return to a more streamlined and natural contour after your capsulectomy, or you are hoping to maintain the augmented look you already had, Dr. Schwartz will tailor a custom surgical plan to best meet your goals.

Recently, I have been hearing a lot of questions about breast implant removal through en bloc capsulectomy. This type of explantation is key for some women, while other patients can get similar benefits from other implant removal methods which have less associated risk. To help you understand more and find the best breast implant removal technique for you, I’ll answer some of the most common questions here. What does en bloc capsulectomy mean? When breast implants are placed, your body naturally forms scar tissue around the implant. This is a normal and expected response and, because of this, all breast implants have what we call a “capsule” around them. Find even more details at En Bloc Capsulectomy surgeons near me.