Provider teams in hospitals often have too many patients with too many complex needs and situations to be recalled and prioritized during a shift-to-shift handoff. Mid-level, resident and hospitalist physicians are commonly forced to keep ‘signout' data (brief descriptions of their patients' assessments, problems, plans of care, to-dos, statuses and various other notes and instructions), plus relevant clinical events and results.Sharing this information is commonly supported by data entry and quick recall in improvised systems using index cards, text files, spreadsheets or standalone databases that are not secure, HIPAA-compliant or customizable to speciality or team. This is a little known problem outside of the medical world that has big consequences: most patient errors occur when information is not transferred correctly.e-Handoff replaces these homegrown systems with a highly secure, software-as-a-service that facilitates caregiver communication, and customizes the signout to each specialty e.g.: Internal Medicine, Surgery, Psychiatry, Family Medicine, Pediatrics, Neurology and so on.e-Handoff is used across the country by residents, nurses, hospitalist groups and other caregivers at Hospital Corporation of America (HCA), Yale School of Medicine, Baylor Healthcare (TX), UC Davis (CA), Oklahoma Health Science (OK), Alegent-Creighton Health (NB), Ellis Medicine (NY), UCLA at Kern Medical Center (CA), St. Francis Medical Center (NJ), Conemaugh Memorial (PA), Southern Illinois University (IL) among many others.As healthcare becomes more and more team-based, and hospitalists, specialists and nurse-practitioners take a greater role in advanced medical practice, the need for a quick handoff system is ever increasing. We've been in business for about two years, are cash-flow positive and have experienced good growth and 90% repeat customers.e-Handoff was commended by the ACGME in 2007 at the University of California, Davis.