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> There are 8 messages totalling 352 lines in this
> issue.
> 
> Topics in this special issue:
> 
>   1. LACTNET Digest - 1 Feb 2005 to 2 Feb 2005 -
> Special issue (#2005-157) (2)
>   2. Billing for Human Donor Milk
>   3. breastfeeding (compared to breast feeding)???
>   4. www.mybreastfedbaby.com
>   5. Domperidone on Hale's website
>   6. photos
>   7. IBCLC crediential and WIC
> 
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> 
> Date:    Wed, 2 Feb 2005 11:24:02 EST
> From:    Carole Peterson <[log in to unmask]>
> Subject: Re: LACTNET Digest - 1 Feb 2005 to 2 Feb
> 2005 - Special issue (#2005-157)
> 
>  
> In a message dated 2/2/2005 9:34:28 A.M. US Eastern
> Standard Time,  
> [log in to unmask] writes:
> 
> Sure a  manager has to sign the form, but what if
> the manager has a mandate from on  high that there
> must be an IBCLC in
> that position and there was no one  else?  Would she
> be willing to fudge?
> (Oh, I didn't realize ALL the  hours had to be spent
> with just
> breastfeeding moms.) Please don't flame  me.  I
> don't mean to cast
> aspersions, but when breastfeeding is just a  job
> and not your passion,
> things may look a little different to you.   I don't
> doubt a
> less-experienced, passionate IBCLC will go after the
>  experience and
> education to fill in the blanks.  But what about the
>  one for whom it is
> just a requirement of their job?   
> 
> 
> 
> First we need to clarify something for WIC IBCLCs in
> Indiana which is the  
> location of these accusations.  This was never
> mandated.  NO one ever  said 
> there MUST be an IBCLC.  It is encouraged and it is
> our dream to  achieve this 
> goal. No one was reimbursed nor was the exam paid
> for by WIC in  Indiana.  A WIC 
> employee sitting for the IBCLE exam in Indiana did
> so using  her own funds. No 
> one received a raise for taking the exam.  Again
> this is  all done because 
> this is a  personal choice to help breastfeeding
> mothers.  No one was promised a 
> promotion if they completed this exam. Nor was
> becoming an  IBCLC a 
> requirement of a job.  We require that a Regional
> Center be  directed by an IBCLC.  In 
> some cases these centers were moved in order to 
> meet this requirement. There 
> are 9 regional centers in Indiana. All but 2 are 
> coordinated by employees who 
> were IBCLC before this position was even  created. 
> Three of these centers 
> are directed by people who have been IBCLC  over 12
> years and prior to WIC 
> employment. 
> Some WIC agencies may have encouraged this more than
> others, but some  
> hospitals encourage this more than others. However
> ALL of us are working toward  the 
> goal of having IBCLC the standard for the lactation
> profession.  Why is  a 
> WIC IBCLC a detriment to the credential? Why would
> someone who was an IBCLC  
> prior to employment with WIC be considered "a WIC
> type lactation consultant?"  
> Should she give up her legitimate credential because
> she now works for  WIC?
> Indiana WIC IBCLCs with more than 5 years experience
> were trained to be  
> clinical instructors in order to assist those
> choosing to follow this  path.  If 
> someone did submit an application with hours that
> are falsified,  I would like 
> to know about it, since as chairperson of the WIC
> Breastfeeding  Committee, it 
> was part of my responsibility to mentor these people
> through the  process. 
> The personnel I mentored had their hours checked and
> if there was a  deficiency 
> they were given experiences, on their OWN time, to
> assist them in  meeting the 
> requirements of IBLCE. Some even traveled to other
> agencies to get  more 
> clinical experience.
> Lactation consultants need to work together to
> become an accepted member of  
> the health care team. WIC has worked very hard to
> bring breastfeeding 
> promotion  and support to the top of their program. 
> Breastfeeding promotion is a  
> mandate for WIC.  IBCLC is not a mandate or
> requirement.  It is a goal  for all 
> us to provide quality support to all mothers
> regardless of their  income.
> Carole Peterson MS, IBCLC
> Indiana WIC program
>  
>  
> 
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> ------------------------------
> 
> Date:    Wed, 2 Feb 2005 12:17:26 -0500
> From:    Becky Lyons <[log in to unmask]>
> Subject: Billing for Human Donor Milk
> 
> Our Children's hospital is using Human Donor Milk
> for one of our NICU
> babies (unable to tolerate ALL/ANY formulas, and mom
> is medically unable to
> pump anymore). This is the first time we have done
> this - baby is thriving
> on donor milk:)  We had no problems ordering and
> receiving the donor milk
> from a milk bank.  The question is.....how do we
> bill the insurance company
> for the milk?  How is it coded? Whose budget does it
> come from, initially?
> We are working with the insurance company, but they
> have not been helpful.
> Anybody out there that can offer assistance/advice??
> Thanks,
> Becky Lyons, LD, IBCLC
> Children's Healthcare of Atlanta
> 
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