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

  • Study uncovers disparities in AFib care

    White male patients are more likely to be treated for atrial fibrillation with blood thinners than women, Hispanic patients or black patients, and they are more likely to undergo catheter ablation than Hispanic patients or women. The study, which appears in the journal HeartRhythm, also notes that women and Hispanic patients are also less likely to see a doctor who specializes in abnormal heart rhythms. HealthDay News (6/30)

  • ACO, health agency use new care coordination model to better serve rural patients

    UnityPoint Health Accountable Care Organization has implemented a new care coordination model with Webster County Health Department in Iowa to boost care coordination among providers and increase the availability of care services to rural patients. The Tri-Navigational System, launched through a grant provided by the state, employs care navigators and implements Epic's integrated EHR platform to link mental health and primary care providers to public health authorities. Since the launch of the new model last year, the ACO reported more than 3,000 individuals from six counties had services from primary care and mental health providers. Healthcare Informatics online (7/1)

  • Survey: Patients want to connect online with providers

    More than one-third of respondents to a national survey said they had used e-mail to contact their doctor and 18% had used Facebook to get in touch with their doctor over the past six months, researchers report in the Journal of General Internal Medicine. More than half of respondents said they wanted access to their medical information through their doctor's website. "The findings highlight the gap between patient interest for online communication and what physicians may currently provide," study leader Joy Lee said in a statement. The Huffington Post (6/29)

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