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

  • Health care homes save Minn. $1 billion, study says

    Primary care clinics certified as health care homes saved Minnesota $1 billion over five years, according to University of Minnesota researchers. The study found that from 2010 to 2014, patients in health care home practices had annual medical expenses that were 9% lower than patients in traditional primary care settings and were less likely to require lengthy hospital stays. Minnesota decided in 2008 to make additional funding available to clinics certified as health care homes. Star Tribune (Minneapolis-St. Paul, Minn.) (2/9)

  • VA hospitals on par with civilian facilities in cardiac care outcomes

    Men hospitalized at a Department of Veterans Affairs facility from 2010 to 2013 for acute myocardial infarction, heart failure or pneumonia were slightly less likely to die in the month after treatment than their peers treated at a non-VA hospital, researchers reported in the Journal of the American Medical Association. However, readmissions were higher at VA hospitals, with 24.7% of veterans with heart failure readmitted compared with 23.5% of civilians. HealthDay News (2/9)

  • Study: Lower patient-to-nurse ratios linked to better survival

    A study in the British Medical Journal found that a patient-to-nurse ratio of no more than six patients per nurse is associated with 20% lower patient mortality than when each nurse is responsible for at least 10 patients. Findings also show a 17% reduction in mortality with lower patient-to-nurse ratios in surgical wards. United Press International (2/10)

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