POLICIES & PROCEDURES
Lauren Lasko, IBCLC
MaLa Lactation Services, LLC
Lakewood, OH 44107
Personal NPI: 1669711461
IBLCE certification # L96478
IBCLC Professional Standards
As an IBCLC in private practice, I provide home visits for lactation support for breastfeeding/chestfeeding families. My care is client-centered, aimed at identifying my client’s goals while providing up-to-date information and recommendations on infant feeding and nutrition, and maternal nutrition during lactation. I value the individual lived experiences that my clients bring to parenting, and I always meet my clients where they are.
Liability Insurance Information
99 Hudson St., 12th Floor
New York, NY 10013
Commitment to Continuing Education
I am required to recertify every 5 years through IBLCE, by exam or by continuing education.
I pursue continuing education over and above these requirements. I attend a minimum of 2 online conferences, and a minimum of 2 in-person events.
When new books on lactation are published I make best efforts to read them.
I stay abreast (pun intended) of new research related to breastfeeding, lactation, and parenting.
I am a member OLCA.
Policies regarding dress and demeanor
I dress comfortably but not casually. I will remove my shoes in your home unless you instruct me otherwise.
I may bring in coffee unless you request otherwise, and I may bring in my own water. I carry breath mints with me.
I wash my hands after entering your home, and after using the bathroom or if my hands get dirty.
I wear gloves when examining your baby.
I will ask you for a clean swaddle blanket to place on my scale.
If I need you to touch my iPad for any reason, I will clean it first.
I am fully vaccinated against pertussis, rubella, measles, and mumps.
I get a flu shot every year.
If I have a fever, if I have vomiting or diarrhea, I will cancel appointments until 24 hours after my symptoms clear. I may not be able to reschedule and will make every attempt to find you a replacement IBCLC.
I exclusively provide home visits within the Cleveland, OH area, and schedule visits with geographic considerations in mind.
I will endeavor to arrive for our visit within 15 minutes of our scheduled time. I am sometimes running late because of traffic and parking complexities. When possible, I will text you an update but it may not be possible if I am driving.
I treat all clients with respect and endeavor to provide equitable healthcare.
An initial home visit will last no longer than 90 minutes and may be shorter A follow up home visit will last no longer than 90 minutes and may be shorter. A prenatal session is educational only and lasts 90 minutes.
I reserve the right to decline appointment requests.
I require my intake forms to be completed prior to the visit. I reserve the right to cancel a visit if the intake forms are not completed within 4 hours of the visit.
I will weigh your baby at every visit unless you expressly decline.
Consent for Care
You will have the opportunity to sign a consent for care before the visit. I will not be able to work with you and your baby without it.
Payment & Cancellation Policies
My payment policies are posted on my website.
I do not respond to texts or emails after 9pm. If an email or text arrives during the work day, I may not be able to respond until the evening or the following morning. I endeavor to respond to all client communications within 24 hours.
My phone does not ring; it goes straight to voicemail. You may leave me a voicemail and I will respond by email or secure messaging.
I respond to appointment requests as quickly as possible, and take all appointments through my online booking portal.
My website has a contact form that is not HIPAA-secure.
Documentation and Reporting
All visits are charted in detail using SOAP format.
I provide all clients with an individualized care plan.
I send reports to pediatricians unless specifically asked not to.
I may communicate with other healthcare providers as needed.
I am a mandated reporter, and it is my legal duty to notify the appropriate authorities if I have a concern about your baby’s welfare.
Per the IBLCE Code of Professional Conduct, I endeavor to treat all clients equitably without regard to ability/disability, gender identity, sexual orientation, sex, ethnicity, race, national origin, political persuasion, marital status, geographic location, religion, socioeconomic status, age, within the legal framework of the respective geo-political region or setting.”
Privacy, Security, and HIPAA Policies
My HIPAA Notice of Privacy Practices is posted on my website.
My email is encrypted and HIPAA-secure through G-Suite with Paubox encryption.
I use a HIPAA-secure practice management system called ChARM EHR to store client information.
I use HIPAA-secure online scheduling through ChARM.
Some client files are stored in G-Suite Drive, which is HIPAA-secure.
My devices are all encrypted and protected with passwords.
When you become my client, you will sign my consent which will ask you to give me permission to share your name, appointment time, and address with my husband. This is for my own safety, and I reserve the right to decline home visit appointment requests if this consent is withheld.
I use HIPAA-secure email-to-fax through Faxage??? to send care plans.
Occasionally, an appointment request or client communication will come to me through an email address that is not HIPAA-secure. I will respond to this email through a HIPAA-secure channel.
I do not accept social media connection requests from current clients.
I do not communicate with clients through social media channels.
I do not store client contact information on any of my devices.
I use HIPAA-secure G-Suite Calendar to track appointments.
I will maintain your privacy and confidentiality to the best of my ability.
I accept credit card payments through my practice management system (ChARM) which integrates with Blue Fin for secure payment processing. All payments are due prior to the appointment.
I provide a superbill to all my clients.
I offer a $75 discount for follow up visits.
I do not accept any insurance.
I am happy to have your other children present, and any other family members or support people with your express consent.
If you have guns in your home, please have them secured for the duration of my visit.
I do not offer any classes or support groups at this time.
MaLa’s Virtual Lactation Consult
MaLa’s Virtual Lactation Consult allows you to have access to care at times when it may be difficult to get care otherwise. Ideally, this service provides easier access to care by allowing you to stay at home and receive a health care evaluation, often in a more budget friendly way. The benefits of this kind of service allows more access to care, but as with any health care service, there are potential risks associated with the use of telemedicine services and, hence, the Services provided via this Site. Among the most important are the following:
Because of the limitations of this type of care, the health care professional may not have enough information make comprehensive and accurate medical decisions. There could be limitations, for example, in the information transmitted to the Health Care Professional; access to the patient’s complete medical records, the physical examination that Health Care Professional can perform (in particular, information that can be obtained only by touching the patient or being physically present with the patient will not be available).
In some cases, the Health Care Professional may conclude that the information transmitted is not sufficient, or on some other basis the nature of you or your child’s problem is such that it does not allow for the Services to be provided appropriately by the lactation consultant without an in-person evaluation.
Telemedicine relies on electronic communications and devices. Any technical failure or power outage could therefore delay or disrupt such communications and hinder, delay, or erase our ability to assist you. These limitations could result in an incorrect diagnosis, which in turn could lead to treatment that is not helpful, or that could even be harmful; or to adverse drug interactions, allergic reactions or other problems. Lactation consultants performing Services through the Site are aware of these limitations and take them into account in making clinical decisions within the scope of their practice. Scope of practice for International Board Certified Lactation Consultants can be referenced on the home site of their certifying body, the International Board of Certifying Lactation Examiners. Where necessary, these Health Care Professionals will refer patients to in-person care. The risk of error nevertheless exists.
In some cases, applicable laws may prevent lactation consultants from providing the Services you desire through the Site. When that is the case, the Health Care Professional will refer you to an appropriate provider who can provide the services you desire.
Since telemedicine remains a relatively new approach to care, risks not yet identified, possibly significant, could also exist.
You are under no obligation, of course, to obtain care via telemedicine. You may do so through conventional, in-person services instead of or in addition to these Services. Please feel free to provide feedback to MaLa should you become concerned that care via telemedicine may be insufficient for your needs.