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

  • Report: U.S. hospitals make progress on heart care quality

    U.S. hospitals made progress on heart care measures in 2013, recording an overall 1.3% improvement since 2009, according to a report from The Joint Commission. The report identifies eight heart care measures that hospitals improved on, including an 8.6% increase in percutaneous coronary interventions occurring within 90 minutes of the patient's arrival and a 5.1% boost in cases involving administration of fibrinolytic therapy within 30 minutes. (11/19)

  • Number of ACOs stabilizes while number of covered lives rises

    Accountable care organizations often have multiple contracts with health insurers and the CMS, and many health care providers that call themselves ACOs do not meet the definition of one, making an accurate count difficult to determine, says industry expert David Muhlestein. Though the number of ACOs has leveled off, the number of covered lives continues to rise, Muhlestein says, and the geographic distribution of ACOs depends on state policies and the existence of other ACOs in a given region. Muhlestein has identified six types of ACOs, from full-spectrum, integrated organizations to expanded physician groups. Managed Care magazine (11/2014)

  • How one ACO succeeded in lowering costs

    Amarillo Medical Specialists was among the accountable care organizations that reduced the cost of patient care last year and shared the resulting savings with Medicare. The ACO analyzed clinical and claims data to identify the Medicare patients most likely to be readmitted to a hospital, tailored interventions for those patients, and used another algorithm to identify high-quality home health providers. Spending on home health services rose, but overall spending fell. Forbes (11/19)

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