Terry Lockhart, HIM Informaticist, Health Information Management, and Charissa Augustine MHA, RN, BSN, BCS, Clinical Application Analyst, Information Systems Dept., VCU Health. In theory, DIRECT messaging holds much promise to be exactly what we need for improving inter-facility patient related communication. But in practice, its turned out to be more difficult than expected and slower to grow than we’d hoped. This presentation will review our year’s worth of history with DIRECT messaging and provide opportunities for you to share your facility’s experiences and lessons learned along the way.