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

  • CMS report shows improvements in quality measures

    The 2015 National Impact Assessment of Quality Measures report from CMS showed that from 2006 to 2012, 95% of 119 publicly reported performance rates over seven quality reporting programs had improvements. The CMS said almost 7,000 physicians will be eligible for value-based increases in Medicare payments in 2015 if they can show evidence of high-quality care. Healio (free registration) (3/3)

  • Readmissions become bigger issue for primary care physicians

    CMS penalties on hospitals with high readmission rates have put pressure on primary care physicians to help keep patients from needing additional inpatient stays. Physicians are using post-discharge care management programs and forming accountable care organizations that focus on performance-based care. Medscape (free registration) (3/4)

  • Consistent primary care use may improve outcomes in diabetes patients

    American Indian and Alaska native adults with diabetes who regularly sought primary care services had significantly higher rates of glycemic and blood pressure control than those with fewer primary care visits, Alaskan researchers found. The study was published in the Journal of the American Board of Family Medicine. Healio (free registration) (3/3)

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