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

  • Patient access to medical notes boosts engagement, collaboration

    Giving patients access to their doctors' notes can enhance collaboration and engage patients in their own care, according to a study of 19,000 patients and 105 primary care physicians. Patients with access to their doctors' notes developed a better understanding of the importance of taking the drugs they had been prescribed, and note sharing served as a reminder when medical follow-up was needed. The effect on outcomes is not clear, but the concept is generally promising, said co-author Dr. Tom Delbanco: "We know that engaged patients have better outcomes." Reuters (2/24)

  • Compassionate care framework aims to reduce suffering, improve quality

    The Compassionate Connected Care framework created by consulting firm Press Ganey aims to reduce patient suffering but could also lead to higher quality, reimbursements and patient satisfaction scores. A Press Ganey report detailed the framework, which includes acknowledging patient suffering, paying attention to body language, providing coordinated care and giving patients choices. HealthLeaders Media (2/24)

  • ACA to boost primary care visits 4%, study says

    When fully implemented, the Affordable Care Act may increase primary care physician visits by about 4% nationally, or about 70 additional visits per physician each year, according to a report from the Commonwealth Fund. The increase in health care coverage also is expected to boost emergency department visits by more than 2% and lead to about a 3% rise in outpatient hospital visits and inpatient admissions. HealthDay News (2/25)

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