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 finds small reductions in use of some low-value services

    Study data showed that since 2012 there have been slight reductions in the use of imaging for uncomplicated headaches, heart scans for patients with no history of heart disease and antibiotics to treat sinusitis, which the Choosing Wisely Campaign has deemed to be of low-value. The study in JAMA Internal Medicine found the use of four other low-value services either did not change significantly or increased, and the authors called for additional interventions to reduce usage. HealthDay News (10/12)

  • CMS launches ACO model for dialysis patients

    A new accountable care organization model for dialysis is being introduced by the CMS to offer coordinated care and curb the cost of treatment for kidney failure. The Comprehensive End-Stage Renal Disease Care Model is based on Pioneer ACOs and the Medicare Shared-Savings Program. Nephrologists and dialysis centers will participate in ESRD Seamless Care Organizations under a value-based model for treating Medicare beneficiaries. Thirteen groups have been selected to participate, including organizations in Arizona, California, Florida, Illinois, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Tennessee and Texas. (10/7)

  • Neonatal abstinence syndrome tied to risk of hospital readmission

    Infants with neonatal abstinence syndrome were at an almost 2.5 times increased risk of being readmitted to the hospital within a month after birth than full-term infants born without complications, according to a study in Hospital Pediatrics. Researchers analyzed data on more than 750,000 births in New York state between 2006 and 2009 and found an association between longer length of birth hospitalization and reduced odds of hospital readmission within 30 days. (10/9)

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