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

  • PCMH study shows cost savings, reductions in ED, hospital use

    Studies of 30 primary care patient-centered medical home initiatives found 21 of 23 that tracked costs showed reductions in at least one financial category, according to a report from the Patient-Centered Primary Care Collaborative and Milbank Memorial Fund. The report found that out of 25 studies reporting utilization metrics, 23 showed reductions in at least one category, including hospital admissions and readmissions and emergency department visits. (2/4)

  • Study measures long-term outcomes, costs for ICU survivors

    A study in the American Journal of Respiratory and Critical Care Medicine found that intensive care unit patients who survived to be released from the hospital face a five-year mortality of 32.2%, compared with a control group of hospital patients whose mortality was 22.7% over five years. Researchers also found that patients who had been cared for in an ICU had a mean hospital admission rate of 4.8, compared with 3.3 among controls, and higher mean five-year hospital costs of $25,608, compared with $16,913 for controls. (2/5)

  • Study shows divide in compliance with prostate cancer screening guidelines

    Reuters (2/8)

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