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

  • Obama holds emergency meeting on Ebola response

    President Barack Obama on Wednesday held a meeting at the White House on the U.S. response to the Ebola virus outbreak after the CDC announced a second Dallas health care worker had been infected with the virus. Obama directed the CDC to send a rapid medical "SWAT team" within 24 hours after a new diagnosis to take "the local hospital step by step through exactly what needs to be done," and he said the risk of a widespread Ebola outbreak in the country remains extremely low. Los Angeles Times (tiered subscription model) (10/15)

  • Study: SNF quality measures not linked to readmissions

    University of Pennsylvania researchers said performance measures for skilled nursing facilities were not consistently linked to 30-day readmission or mortality risks among post-acute care Medicare patients. The study was published in the Journal of the American Medical Association. (10/15)

  • Increased hospice services may reduce hospitalization

    A study found that greater "hospice penetration" at nursing homes may reduce the risk of hospitalization for all residents, regardless of hospice status, researchers reported in the Journal of the American Medical Directors Association. The report estimated that at 14,000 facilities, 38% of nonhospice patients and 23% of patients in hospice had a hospital stay in the final month of life. McKnight's Long-Term Care News (10/15)

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