Our Team & Our History

Who is behind Smart Sign Out? How did this all happen?

The Problem

Everyday, in every hospital in the world, care teams are required to transition patient care from one shift to the next.

During this transition – or handoff – the opportunities for failures in communication rise dramatically, which can lead to medical errors and other adverse events.

Handoffs occur every time a patient is transported to a new area of a hospital. From the emergency room to the hospital floor. From the operating room to the recovery room. Even from one hospital to another.

In an average teaching hospital, where up to 10 physicians may be caring for a patient simultaneously, this transition can occur up to 4,000 times a day, or 1.6 million times per hospital annually.

That’s roughly 640 million handoffs per year in U.S. academic teaching hospitals alone.


“I had no idea that patient coded earlier in the day. There was no note on the sign out.”


According to the Joint Commission, defective handoffs play a role in “80% of serious preventable adverse events.” The Joint Commission found in their study that 70% of participating hospital handoffs “were defective and didn’t give the caregiver (the opportunity) to provide safe and effective care.”

Based on this data, it’s likely that you or someone you love has been a victim of one of the 448 million defective handoffs that occur each year.


It doesn’t have to be this way.

Smart Sign Out is changing the way doctors communicate about patients. We are improving the efficiency and accuracy of handoffs through our breakthrough technology that can be accessed on any device. Doctors can now update patient lists immediately, or when it’s most convenient for them — at the bedside, during rounds, even at home.

No more waiting in lines, hurried handoffs, or inaccurate patient lists. Our dedicated iPad app synchronizes with our mobile-friendly web application to ensure every member of your team can access real-time patient information instantly – so you can feel confident knowing everyone is on the same page.

Smart Sign Out is enhancing handoff communication to save lives. We believe in creating the tools necessary to provide the best possible care for every patient.

And we’re off to a good start.

We’re established in four major hospitals as the sponsored sign out system. In just a few months, we’ve registered over 400 active users, have coordinated over 3,900 patient visits, recorded more than 140,000 patient actions, and have been adopted by 17 medical teams. We’ve also implemented over 300 improvements to the software based on user feedback alone.

We’re making strides at reducing the percentage of defective handoffs with the goal of helping healthcare professionals provide high quality, cost-effective care.

Learn more about Smart Sign Out’s features.

Tour the app

Our Team

Mombrea-3 (1)

Matt Mombrea, Co-Founder, Chief Technology Officer

tiffany headshot-9144

Tiffany Tcheng, Co-Founder

Processed with VSCOcam with c1 preset

Jonathan Nalewajek, Senior Mobile Developer


Greg Finn, Co-Founder

Where you’ve seen us