Sign Out Now, LLC, a Florida Limited Liability Company

Corporate Headquarters
Mission Statement
Sign Out Now's mission is to universally connect healthcare providers via an easily accessible and accountable network allowing for the seamless hand-off of patients.

“Communication is everything”

With over 20 years of combined hospitalist experience, Chief of Staff and Medical Director, Dr. Jeff Shapiro and Dr. Rafii Hodikian created the Sign Out Now (“SON”) system to streamline communication between physicians at the time of discharge. The daily discharges of patients being sent off into the void with no standardized method of contacting the accepting physician prompted them to provide a solution to this widespread issue. SON helps to eliminate the current massive communication gap thereby improving patient safety and quality of care.

We believe SON is not only a system, but a culture of medicine; one that stresses the importance of proper communication.

Our Founders

Raffi Hodikian

President - Raffi Hodikian MD.

Dr. Hodikian completed his undergraduate education at UCLA obtaining a BS in neuroscience and minor philosophy. He pursued his medical education at Rosalind Franklin University of Medicine and Science/Chicago Medical School and completed his training in Internal Medicine at St. Vincent's Hospital in Manhattan. Upon graduation, he was hired by a hospitalist company in the San Gabriel Valley directed by Dr. Shapiro. He was soon promoted to associate medical director of the hospitalist group, in addition to being elected Chair of Medicine at Foothill Presbyterian hospital, followed by Chair of Peer Review, his current position. Dr. Hodikian was honored with the Physician of the Year award in 2012 at Foothill Presbyterian Hospital, an honor he considers his highest achievement yet. His simple philosophy is to treat each patient "as if he were in their shoes". He is intimately involved in the hospital processes and is zealous to help rationalize the current disorder of modern day medicine.

Chief Medical Officer - Jeff Shapiro MD.

Dr. Shapiro completed his undergraduate training at UC Santa Cruz earning a BA in Biology with Highest Honors in the Major. He earned his Medical Degree from University of Southern California and went on to complete a residency program in Internal Medicine at Huntington Memorial Hospital. Dr. Shapiro is Board Certified in Internal Medicine and was among the first physicians to earn the designation of Board Certification in Internal Medicine with Focused Practice in Hospital Medicine. He is also a Fellow in Hospital Medicine. He is Regional Medical Director and a Full-time hospitalist for a large, Southern California Hospitalist group. He has held numerous leadership positions including Chairman of the Department of Medicine, Chairman of Utilization Review and is currently Chief of Staff and a Member of the Board of Directors of his local hospital system. He recently completed Lean Six Sigma Greenbelt Certification through the Joint Commission Center for Transforming Healthcare. Dr. Shapiro has also provided consultation on Utilization Review and Management, Medico-legal expert witness and case review and Medical Peer Review. Dr. Shapiro's passion is to provide the best possible medical care while finding new and innovative ways to deliver health care and reduce waste and inefficiency in health care delivery.