Month: October 2020

The growth of a healthcare strategic planning manager : 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.



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.

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.

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. Dr. Lecia Scotford is a results oriented and experienced healthcare strategic planner. Skilled in communication, performance optimization, interpersonal ssing and implementing dynamic changes effortlessly.

Trinity Force AR 15 accessories by Blackrifledepot? The history and development of the AR 15 has many interesting twists and turns that finally led it to its popularity that it has today. It had a few bad starts in the very beginning, yet over half a century later the same design and concept is still being used in active military service and enjoyed by the civilian market alike. Very few firearm designs enjoy this kind of popularity and longevity, so what makes the AR15 so special? Where did this infamous gun get its start? Let’s talk about that! The AR 15 gets its name from the Armalite Rifle Model 15. Contrary to popular belief as well as by misinformed gun control advocates, “AR” does not stand for “assault rifle.” It actually stands for “Armilite Rifle.”

One of the only possible downsides to keymod is that you might not be able to find as many accessories compatible with this system as you would M-LOK, mainly because some of the biggest names in the industry produce products only compatible with the M-LOK system. Another slight disadvantage to keymod is that some accessories may not work very well with polymer handguards because of the design. If you are searching for a slimmer, lightweight option better than the traditional picatinny, then keymod may be perfect for you. Keymod has been incredibly popular because of its modularity and lighter weight, and there is no end to the amount of accessories that you can mount with it.

Just like with the cold hammer forged barrels, cut rifled barrels have their own set of advantages and disadvantages. This process produces the most accurate AR 15 barrels that money can buy, and the manufacturing process has been fine-tuned over many years. The downsides to these barrels are that they are much more expensive to make, and if not done right, a low quality barrel will be more susceptible to accuracy issues. Overall, both hammer forged barrels and cut rifled barrels are great options for your AR 15, and either one will serve the average shooter just fine! Discover more info at AR 15 Parts.

10.5” 5.56 NATO Pistol Upper Assembly: If you’re still liking the idea of an AR pistol build but don’t like the idea of a super short 7.5” barrel, an obvious solution is the 10.5” 5.56 NATO Pistol Upper Assembly. This is a length where, ballistically, with the right ammo, it could make for a very mean little defensive AR pistol. You’re only adding 3” to the gun, but that length addition, in our opinion, bumps it out of ‘range toy’ category and into an area where you could seriously consider this as a trunk or behind-the-nightstand pistol, depending on your needs. Our 10.5” 5.56 NATO Pistol Upper Assembly has the same features as the 7.5″ 5.56 NATO Pistol Upper Assembly, and paired with one of our bolts, you have a very handy, reliable and practical AR 15 pistol. One caveat: Even at 10.5”, these upper assemblies are still loud. As long as you know what to expect going in…carry on.

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Many polymer drop-in handguards will be made of two different pieces that will fit around the barrel. They are generally fastened together by a handguard cap towards the front, and secured by a delta ring assembly in the rear. They get their name from how easy it is to install them, or to “drop-in” a new one. Installing them is super easy, and can literally be done in less than a minute. Simply pull back on the spring loaded delta ring to remove the current handguard, follow the instructions on the new one and put it in almost in reverse of removing one and there you go! Brand new handguard in no time! Most drop-in polymer handguards are offered in different lengths, in order to accommodate the varying gas system lengths of whatever AR-15 they are going on. They are generally the cheapest option, but they do have one slight disadvantage. Because of their design, they incorporate a handguard cap that is usually in contact with the forward portion of the barrel. This can possibly affect accuracy, especially if using fore grips or bipods with the handguard. This is not always the case, but something to be aware of if precision accuracy concerns you.