Hospital to Home

The Hospital to Home (H2H) Initiative is a resource for hospitals and cardiovascular care providers committed to improving transitions from hospital to "home" and reduce their risk of federal penalties associated with high readmission rates.


Start now with an ACC (CardioSource) login, or register for access today.



Self-contained improvement projects that include a goal statement, success metrics, a tool kit, an assessment, and 3 webinars (evidence, tools, lessons learned) that provide participants with recommended strategies and tools to achieve small, attainable goals in their organization.

  • See You in 7

    The goal of the H2H SY7 Challenge is for all patients discharged with a diagnosis of HF/AMI to have a follow-up appointment scheduled/cardiac rehab referral made within 7 days of hospital discharge.

  • Mind Your Meds

    The goal of the H2H MM Challenge is for clinicians and patients discharged with a diagnosis of HF/MI to work together and ensure optimal medication management.

  • Signs and Symptoms

    The goal of the H2H S&S Challenge is to activate patients to recognize early warning signs and have a plan to address them.

Getting Started

Kick-start H2H at your hospital by utilizing the ”Getting Started Checklist.”

Get Started


Interact with others on a listserv who share best practices and lessons learned.

Find out more

News And Research

  • Study examines trends in readmission after bloodstream infections

    A retrospective cohort study in the journal Infection Control & Hospital Epidemiology found that patients with central line-associated bloodstream infections were at increased risk of readmission compared with other patients. The 30-day readmission rate was 7.1 per person-year among CLABSI patients, compared with a rate of 4.3 per person-year for matched controls without CLABSI. The study involved data on 8,097 Medicare patients treated in 2008 and 2009. (5/21)

  • Research has yet to show if 2nd opinions change outcomes

    Study data show getting a second opinion can change a patient's diagnosis but whether it changes outcomes is unknown, said patient safety researcher Dr. Hardeep Singh at the Michael E. DeBakey VA Medical Center and Baylor College of Medicine. Second opinions now are being offered online, giving patients easier access to specialists. Kaiser Health News (5/26)

  • Hospitalization in final year of life may worsen disabilities

    Hospital admission and readmission in the final year of life may cause a patient's existing disabilities to worsen, researchers reported in BMJ. Researchers said clinicians should consider a palliative care approach with these patients to help them handle personal care needs and begin advance care planning discussions. McKnight's Long-Term Care News (5/20)

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