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

  • High readmission rates seen for older survivors of in-hospital cardiac arrest

    Data on 6,972 adults over age 65 who had an in-hospital cardiac arrest showed they had 2,005 readmissions in the first 30 days following discharge and 8,751 readmissions over one year. The study in the journal Circulation: Cardiovascular Quality and Outcomes found younger patients in this group had higher inpatient costs. (10/29)

  • CareFirst PCMH steers patients toward efficient care

    CareFirst BlueCross BlueShield is harnessing data from its patient-centered medical home program to determine which health care providers are the most efficient and reward subscribers who choose them. Since its inception, the CareFirst's PCMH plans have cut average growth in annual spending from 7.5% to 3.5%, avoiding about $1.2 billion in spending. Company officials are considering other ways to boost quality and efficiency, such as by providing cost-sharing incentives for some services that are included in certain members' care plans. American City Business Journals (10/29)

  • Hospital's QI initiative reduces pneumonia readmissions

    A quality improvement initiative that used a diagnostic scoring system and daily interdisciplinary meetings helped reduce one hospital's all-cause readmission rates for pneumonia patients from 20.7% to 13.2%, researchers reported at the annual meeting of the American College of Chest Physicians. Rates for pneumonia-related readmissions decreased from 10.5% to 3% and diagnostic accuracy improved, data showed. Family Practice News (10/29)

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