IBCLC In The Clinical SettingJessica Jolley BA, IBCLC

Salud Para La Gente, Watsonville, CA

California Breastfeeding Coalition ConferenceSacramento, CA 2016

Salud Para La Gente

14 Clinics

Santa Cruz/Monterey Counties

Pediatrics, OB/Gyn, Family Practice, Dental, Optometry, Behavioral Health

FQHC- Federally Qualified Healthcare Center

PCMH- Patient Centered Medical Home

Medi-Cal

Salud Para La Gente

2015

# Total Patients: 25,992

# Pediatric Patients: 11,840

# OB Patients: 2,265

# Deliveries/ Month: 37

Clinical ServicesBuilding A Team

Community Partnerships

IBCLC as Clinical Practitioner and Program Coordinator

Initial Staff: 1 IBCLCCurrent Staff: 2 IBCLC

2 CLE 1 MA Intern

Clinical Services

FIRST STEPS

Protocol Binder

Space

Clinic Flow

Clinical Services

CHALLENGES

Supplies

Scale

Artificial Baby Milk

Pump Rental Program

Clinical Services

Creating A Schedule

Front Desk Importance

Call Center/ Scheduling Challenges

Prenatal and Pump Consults

IBCLC Everywhere!

Building A Team

FIRST STEPS

Attend Monthly Pediatric, OB/GYN, Family Practice, and CPSP Meetings

Present Protocols at Meetings

Meet Regularly With Breastfeeding Coalition Liason- Robbie!

Bi-weekly Meetings with CMO and Clinic Managers

Building A Team

Comprehensive Perinatal Health Workers (CPSP Program)

CPHW Monthly Trainings

CPHW in Hospital DAILY

Bedside Lactation Checklist

Building A Team

CHALLENGES

Providers On Board/ Individual Practices

Uniting Disciplines

IBCLC Alone

Building A Team

Breastfeeding Task Force

Meets Bi-Weekly

Pediatrician, Family Practice (NP), OB (PA), Clinic Managers, HR, IBCLC, CLE, CMO

Clinic Assessment

9 Steps

Action Items

Community Resources/ Partnerships

WIC

Watsonville Community Hospital

Pharmacies

SC County Breastfeeding Coalition

Community Resources/ PartnershipsCentral Coast Alliance For Health (CCAH)

Pump Delivered To Clinic

Pharmacies

Pump Rx

Watsonville Community Hospital

Bedside Lactation Checklist

CPHW

IBCLC Communication

WIC

Referral Form

Pump Rentals

Continual Challenges

Staff Turnover

Provider Education and Collaboration

IBCLC and CLE Availability for ALL Dyads Throughout First Year

More IBCLC’s!

Pumps, Pumps and More Pumps

Electronic Health Records

Coming Soon….

Group Newborn/ Lactation Clinics

24/7 Warm Line and Weekend Support

Bilingual Prenatal Breastfeeding Class

Bilingual Drop- In Postpartum Breastfeeding Support Group

Transferring Program to All Clinical Sites