Hi Ann First I want to say you are doing a great job of making this happen in your agency and this will help with the ripple effect. I had a few thoughts after reading your posts about LC home visits: will the HMO or home care agency only authorize/reimburse for LCs that are also RNs? This will restrict out some excellent LCs. Visit in second week may be too late. Many moms will give up by then and/or suffer very compromised milk supply. I like to get them day 3/4 as I have seen many at day 5/6/7 who are in big trouble with ineffective bf or non-nursing and a very compromised supply and breast refusal. Keep up the good work. Laurie Wheeler, RN, MN, IBCLC Violet Louisiana, USA _______________________________________________________________ Get Free Email and Do More On The Web. Visit http://www.msn.com *********************************************** The LACTNET mailing list is powered by L-Soft's renowned LISTSERV(R) list management software together with L-Soft's LSMTP(TM) mailer for lightning fast mail delivery. For more information, go to: http://www.lsoft.com/LISTSERV-powered.html