Nancy - We have had Care Cards for over a decade. Take a look at our website St. Elizabeth Healthcare - Send A Care Card (stelizabeth.com)
Once a Care Card is created and submitted, it is received in one of the Care Card Outlook email inboxes (we have an email box for each hospital). Then a volunteer is responsible for monitoring the inbox - checking in Epic to see if they are currently a patient, noting the room number, printing them (we do purchase a "nicer" paper for the Care Cards than normal copy paper), folding them (tri-fold), adding a Care Card sticker to seal, and then twice a day delivering them to the patient rooms. If the recipient is not currently a patient then we have an automatic reply that the volunteer can send.
Let me know if you have any questions or want additional information. They are popular with churches and OB offices too :-). Once we had a patient that was sharing her medical journey on social media. The spouse posted that followers could send a care card - we stopped counting when it was over 500 in 3 days. We also stopped folding and stickering..