Under a program known as "Mind the Gap," Children's Hospital Central California provides non-English-speaking and low-literacy patients and their families with a recording of their specific discharge instructions in their native language. Interpreters simultaneously record discharge instructions during translation, and patients and family members can access a password-protected telephone mailbox to hear the recording as needed for up to 2 weeks after discharge. The program has been used by a higher-than-expected number of patients and family members, has reduced gaps in comprehension, and has generated high levels of patient/family satisfaction.