We do egreetings for patients.  Our outside vendor who creates web pages, etc. for our facility was able to set up the ecard system.  The cards are designated to go to the in box of two employed individuals, the DVS and customer service should the DVS be out.  Notification in the in box identifies "ecard".  I open the card and print it on fancy stationary (from Paper Direct), address the envelope to the patient and go to the information desk for room number.  The volunteers deliver to the patient as they do transport runs.  If the patient has been discharged the patient financial folks look up the mailing address, address the envelope and place it in the outgoing US mail.  Unfortunately, this is not exceptionally efficeint either as the system has been down for approximately as year due to web redesign.