A Checklist Approach To Patient Care

SignOut is a mobile app that allows clinicians to create patient care protocols and analyze outcomes.

Protocols of care have been proven to reduce complications, lengths of stay, readmission rates, pain levels, narcotic consumption, and increase patient satisfaction.

Despite their efficacy, they are difficult for institutions to implement because they require extensive patient engagement, clinical coordination, and team accountability.

Enter SignOut, a mobile web app designed to make the implementation of protocols painless. Our customizable solution saves costs in all phases of patient care and helps large and small health institutions maintain profitability while increasing the quality of care.

See how it works.

SignOut Screenshot

Washington Hospital Center (WHC) is a 926-bed Trauma Level I academic medical center serving the Washington DC metropolitan area. It is the largest hospital in the 10-hospital, $4.6 billion MedStar network and the largest trauma center in the DC metro area. SignOut is the IT solution for WHC’s pilot Enhanced Recovery After Surgery (ERAS) program, which aims to standardize perioperative care measures and reduce costs and length of stay, both of which have been outcomes of similar programs instituted at other prominent academic centers.

Washington Hospital Center

Uchechi Iweala

Uch is SignOut’s founder and an orthopedic surgery resident at George Washington University Hospital in Washington D.C. He is a graduate of the MD/MBA program at Harvard Medical School and Harvard Business School. SignOut combines his passion for tech, health delivery, and administration.

Michelle Patterson

Michelle is Signout’s Chief Nursing Officer and has several years of experience as a nurse. She is a member of the orthopedic unit at the Washington Hospital Center in DC, pursuing her Master's Degree at Marymount University as a Family Nurse Practitioner. She earned her Bachelor's Degree in Nursing at New York University.

Radoslav Georgiev

Rado has several years of coding experience in multiple software languages including Ruby, Ruby on Rails, PHP, Wordpress, frontend, databases, and more. He is the founder of Inception Limited, a software development company, and is SignOut's lead software engineer.

Nick Nguyen

Nick Nguyen is a fourth-year medical student at George Washington University, and is applying to residency in orthopedic surgery. As Implementation Manager, Nick oversees SignOut's client training sessions and relays feedback to the management team to incorporate in software updates.

Georgi Tapalilov

Georgi is a versatile software developer comfortable with many coding languages and with several years of experience. He also has a Masters in financial management. He is a software engineer for SignOut.

Banjo Obayomi

Banjo is passionate about mobile apps and has published numerous apps on Apple iTunes, and Google play store. He is well versed in multiple software languages including Ruby, Ruby on Rails, Java, C++, SQL databases, and more. He also has received is Masters in Computer Science from Loyola University.

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For most protocols, patients complete steps prior to their surgery to ensure that they are optimized from a medical standpoint.

With the app, the patients fill out a checklist of all the steps they need to complete before surgery.

The checklist allows patients and clinicians to keep track of compliance and communicate using the task-specific, secure messaging tool.

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Each protocol has steps for clinicians to follow during the inpatient phase of care.

The app provides a checklist that lets all clinicians get an instant picture of what has been done and what needs to be done for the patient.

Providers may communicate with each other using the task-specific, secure messaging tool.

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Providers can use the analytics module to measure and trend the effects of different protocols on efficiency and performance.

The ease of creating data reports allows patients, clinicians, and administrators to work together to improve outcomes.


IDB Contest

SignOut was awarded the 1st place prize out of a total of 663 contestants in the Islamic Development Bank’s inaugural business plan competition in Casablanca, Morocco. Awards were based on the venture’s strength of innovation, feasibility, and potential impact on the sub-Saharan African region.


Uchechi Iweala accepts the 1st place prize on behalf of SignOut at the IDB’s inaugural business plan competition.

Pitch George Contest

SignOut won a second place finish in George Washington University’s recent business plan competition “Pitch George.” Awardees were selected based on a combination of innovation and execution. SignOut will feature in the second stage of George Washington University’s business plan competition in the spring of 2015.


Uchechi Iweala, founder of SignOut, accepts the 2nd place award at the GWU Pitch George business plan competition.

Frequently Asked Questions

What is SignOut?

SignOut is a mobile app that allows clinicians to create patient care protocols and analyze outcomes. You can use SignOut from anywhere and in any place with a data connection. It’s meant for health workers and systems that want to be fast and efficient.

How is SignOut different?

SignOut is based on the premise that the EMR should help health workers complete patient care related tasks quicker and more easily. To act on this premise, we designed SignOut as a task-based application that organizes communication around things that need to get done, everything from collecting vitals to staffing consults. SignOut records and reports the time it takes to complete tasks so that the whole team can improve their speed together.

What do I need to use SignOut?

All you need is a computing device (mobile phone, tablet, or computer) with an internet connection. No extra setup or installation is necessary.

Will SignOut integrate with my existing EMR?

Yes! SignOut utilizes the SMART-FHIR framework to integrate with the leading EMR market solutions including EPIC, Cerner, Meditech and more.

How much does SignOut cost?

SignOut right now is free. Eventually we'll charge a percentage of generated savings.

Is SignOut Secure?

Yes! SignOut is protected by the highest levels of encryption. We conduct regular third-party audits to ensure that your data is safe.

What types of healthcare institutions use SignOut?

All types of health institutions use SignOut, from tertiary-level hospitals to urgent care clinics to physician offices. SignOut is built as an all-purpose and flexible app for every clinical team that likes to get stuff done!

A Checklist Approach To Patient Care