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

  • Lack of communication can derail population health initiatives

    Hospital administrators implementing population health strategies tend to have more confidence than providers in care coordination through electronic health records systems, an online poll found. And though administrators and staff may be aware of the organization's population health strategy, many front-line providers are not, the poll found. One problem, physicians say, is a leadership deficit among their ranks and a recognition among administrators that clinical staff must buy in to population health initiatives. HealthLeaders Media (4/9)

  • Survey finds informatics nurses are key to quality care, IT

    Researchers surveyed more than 500 clinical analysts, executives and informatics nurses and found that 60% believe informatics nurses have an important role in providing quality care. Eighty-five percent of respondents said these nurses make valuable contributions to implementation of EHRs and other health IT tools. The findings were presented at the Healthcare Information and Management Systems Society conference. EHR Intelligence (4/14)

  • Study examines inpatient surveillance of venous thromboembolism

    A retrospective study in the journal JAMA Surgery found that inpatient surveillance for venous thromboembolism did not reduce the risk of blood clots after hospital discharge. Researchers also found that the rate of inpatient venous thromboembolism was higher among inpatients under surveillance. Healio (free registration) (4/15)

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