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

  • Many hospitals find Medicare bonuses are eaten up by penalties

    Data analysis show fewer than 800 hospitals in the U.S. will receive extra money from Medicare quality bonuses out of the 1,700 that earned them. Penalties from two other Medicare programs that track readmissions and hospital-acquired infections will wipe out the bonuses at the remaining hospitals, the report said. Kaiser Health News (1/22)

  • Discharge summaries may affect readmissions, research shows

    Two studies in Circulation: Cardiovascular Quality and Outcomes found discharge summaries may affect quality of care and readmissions. Researchers from Yale School of Medicine found many hospitals did not have high-quality discharge summaries, but summaries that included useful information or were sent to outside clinicians were linked to lower readmission rates. Clinical Innovation + Technology online (1/20)

  • Study finds progress on survival of extremely premature babies

    Mortality among extremely premature infants associated with breathing complications, nervous system problems, infections and development issues declined between 2000 to 2011, according to a study in the New England Journal of Medicine. However, researchers observed an increase in necrotizing enterocolitis, and 25% of the most premature babies do not make it home from the hospital. "Our findings underscore the continued need to identify and implement strategies to reduce potentially lethal complications of prematurity. Ultimately, strategies to reduce extremely preterm births are needed to make a significant impact on infant mortality," said researcher Dr. Ravi Mangal Patel. HealthDay News (1/21)

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