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: Ambulance diversion may increase mortality risk

    When ambulances were diverted to a hospital emergency department farther away, heart attack patients were almost 10% more likely to die within one year compared with when ambulances were not diverted, researchers reported in the journal Health Affairs. The study, which included almost 30,000 Medicare patients in 26 California counties, found patients also were slightly less likely to get treatments such as angioplasty or coronary artery bypass graft to restore blood flow, mainly because they were taken to hospitals that had less advanced heart care technology. Kaiser Health News (8/31)

  • Researchers: Lower readmission rates tied to billing, not quality

    Lower hospital readmission rates may be the result of pushing more patients to emergency departments or classifying them as observation stays, researchers wrote in a Health Affairs blog. City University of New York public health researchers Steffi Woolhandler and David Himmelstein said readmission reductions aimed at avoiding Medicare penalties are the result of "a lot of bookkeeping tricks" that shift more costs to patients, rather than an effort to improve care. Bloomberg (8/27)

  • Groups form coalition to address problems with diagnoses

    Stakeholders in health care, including a number of provider organizations, have formed the Coalition to Improve Diagnosis to resolve issues with missed, delayed or wrong clinical diagnoses. The coalition is also backed by the CDC and the Agency for Healthcare Research and Quality. Medscape (free registration) (8/26)

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