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

  • CDC declares sepsis a medical emergency

    The CDC has released a report declaring sepsis a medical emergency that requires prompt diagnosis and treatment and said 80% of cases originate outside of the hospital and 72% of patients with sepsis had chronic diseases that demanded regular medical care or recently used health care services. Children younger than age 1, adults over 65, and patients with chronic conditions or weakened immune systems are particularly at risk and should work to prevent infections that could lead to sepsis, said Dr. Anthony Fiore, chief of the CDC's Epidemiological Research and Innovations Branch. The Washington Post (tiered subscription model) (8/23) Learn More

  • Study links integrated care teams to higher quality care

    Integrated teams of primary care and mental health clinicians were linked to higher quality care and lower utilization in adult patients, researchers reported in the Journal of the American Medical Association. The study, which included 113 Intermountain Healthcare Medical Group primary care practices, found higher levels of depression screening, documentation of self-care plans, and adherence to a diabetes care bundle among patients in integrated care teams, compared with traditional care teams. (8/23) Learn More

  • Study: On-site pharmacy at mental health clinic improves adherence

    Genoa, which provides on-site pharmacy services at community mental health centers, recorded a 96% rate of medication adherence compared with 82% in a control group, and a 40% lower rate of hospitalizations related to behavioral health, according to a study in the Journal of Managed Care & Specialty Pharmacy. The study reviewed records for 2,500 patients at two Michigan community mental health centers. Specialty Pharmacy Continuum (8/18) Learn More

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