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We increased the percentage of documented direct communication with the PCPs from 2% to 33% and from 4% to 65% for those who met guidelines for direct communication. PCPs only want direct communication on a subset of discharges. Interventions focused on high-yield populations improved discharge communication in our institution. PCPs only want direct communication on a subset of discharges. Interventions focused on high-yield populations improved discharge communication in our institution. Pediatric craniofacial reconstruction has histor