Sylvia!  You are awesome! What a wonderful service, and I agree that some of 
the information women receive is questionable. Please let me know if I can 
help you with this. You know where to find me!

Elisabeth Coble, RN, CPN, IBCLC

-----Original Message----- 
From: Sylvia Romm
Sent: Friday, March 27, 2015 12:01 PM
To: [log in to unmask]
Subject: IBCLC payment structures and contracts

I'm a pediactric hospitalist doing delivery room and newborn nursery (among 
other responsibilities), and a mom of 2 kids under 3 years old. I'm starting 
a telehealth company that connects nursing moms with IBCLCs through 24/7/365 
online video access.

Over the past few years, I've noticed a lot of mothers writing into my mommy 
groups asking breastfeeding questions at all hours of the day and night. The 
responses they have gotten has varied from pretty good to absolutely wrong, 
and I have often wished that I had some place to point these women to that 
could provide reliable information, support, and reassurance. After having 
these thoughts for several years, I've finally gone ahead and created 
MilkOnTap.com to address these needs.

I'm in the process of designing the payment structure for the IBCLCs I will 
hire. I was hoping this group could answer a few questions:

1) How much do IBCLCs in your area charge per hour? For home visits or 
office visits?
2) Do the IBCLCs in your hospital or practice use an "on call" payment 
structure, where they are paid a base rate (like, $5/hr to be available to 
be called in, and then a higher rate if they are called in for a consult)?
3) If so, could you send me an example of the contract you use to set up 
this payment structure?


Thanks!
Sylvia

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