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

  • Hospitals improve compliance with heart failure guidelines

    Compliance with the American Heart Association's Get With the Guidelines-Heart Failure program increased for both teaching and nonteaching hospitals, researchers reported in the journal Circulation: Cardiovascular Quality and Outcomes. The data showed performance got better each year of hospital participation. MedPage Today (free registration) (10/25) Learn More

  • Clinical pharmacists help bridge VA care gaps

    Several Veterans Affairs hospitals have streamlined outpatient treatment, improved access to primary care services and reduced readmission rates by having clinical pharmacists see patients. Clinical pharmacists, who are able to prescribe medications, conduct exams and refer patients for specialty care, have helped the VA provide next-day or same-day primary care appointments, handle patient phone calls, and manage medication for patients with chronic diseases. Kaiser Health News (10/25) Learn More

  • Surgery raises readmission, mortality risks for advanced cancer patients

    Patients with stage 4 cancer who underwent surgery had longer hospital stays and higher mortality and readmission risks than patients without cancer who had similar procedures, according to a study in PLOS One. Researchers said the study shows physicians should talk with advanced cancer patients about palliative care, end-of-life goals, and the risks and benefits of surgery. (10/26) Learn More

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