 Procedures: Patients at Washington University, Barnes Jewish Hospital and St. Louis Childrens Hospital will be included in this study. Two cohorts will be prospectively identified, one group consisting of adult individuals age 18, and one group of pediatric patients age 5 18. Patients from each cohort will be recruited and then randomized to either the experimental or the control group in disease matched control groups. The experimental group will receive the electronic intervention featuring automated SMS text message andor phone call as described above; the control group will not receive any electronic intervention, or may receive a placebo version of the intervention. Pediatric or geriatric patients may have SMS or phone messages also sent to their designated caregiver. Subjects will have the ability to opt out of the study electronically via text and phone at any point during the study. 