Our lactation program, which began in 1989 with 1 LC and a Breastfeeding 
Committee.  It has now overgrown its bounds and we are looking to re-organize 
but are interested in finding a program with a comprehensive focus and 
insightful philosophy that we could model our re-organization after.  Here are 
some of our current questions:

1.  How many deliveries do you have per year?  
2.  How many LC's do you have on staff? How many FTE's?
3.  Do you see all patients each day?  Problem- only patients? Primips and/or discharges?
4.  Do you utilize a referral system for patient contacts?  Who refers?
5.  Do you only see in-pts. or do you have an out-pt. component to your program?  Who sees these pts.?
6.  Do you cover 7 days a week including holidays?  Which shifts?
7.  What is the patient load daily for each LC?
8.  Do you have a telephone hot-line for patient questions/ concerns?  Who fields these calls?
9.  Are you a Baby Friendly Hospital?
Any information that you could share would be so helpful.  Thank you for any 
insight that you can provide.  
Pauline Merakis, RNC, IBCLC
Lactation Consultant
St. Joseph's Hospital
Syracuse, NY   

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