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

  • GAO: Health care quality measure misalignment affects quality improvement

    The misalignment of health care quality measures across private and public payers results in administrative burdens for clinicians and leads to quality information that can't be compared, which hampers the ability to identify high-impact quality improvements, according to a report from the Government Accountability Office. A lack of meaningful quality measures, gaps in decision-making among clinicians and payers, and variations in quality reporting and data collection systems drove the misalignment, according to the GAO. RevCycle Intelligence (10/18) Learn More

  • Report finds little change in US outpatient care quality

    A study in JAMA Internal Medicine found little overall change in the quality of US outpatient care from 2002 to 2013, although data showed patient satisfaction scores increased. The report also found that more patients got recommended medical treatments and ratings for physician communication and access to care increased. Reuters (10/17) Learn More

  • Medical home model saved Ore. $240M in 3 years

    Most Oregon Medicaid beneficiaries enrolled in a coordinated care organization have a patient-centered primary care home, and researchers at Portland State University say the model saved the state $240 million over three years. For every $1 in additional spending on primary care, the health care system saved an average of $13, and the longer a clinic had been operating as a patient-centered home, the larger the per-patient savings, the researchers found. The Business Journals (tiered subscription model) (10/18) Learn More

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