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

  • HHS report calls for better access to care for Medicaid patients

    An HHS Office of Inspector General report said standards governing access to care for Medicaid patients vary by state and are not always enforced, causing long waits and travel distances. Inspector General Daniel Levinson said to improve access for the increasing numbers of Medicaid beneficiaries who obtain coverage through the Affordable Care Act, the federal government should require states to develop standards for access and states should contact physician offices to verify whether they are accepting new Medicaid patients. The New York Times (tiered subscription model) (9/28)

  • Medicare readmission rate penalties to increase this week

    The CMS on Wednesday will raise Medicare readmission penalties on hospitals from 1% to 3%. The agency also is adding total hip or knee replacement and chronic obstructive pulmonary disease to the conditions that are considered in evaluating readmission rates and penalties. Modern Healthcare (subscription required) (9/27)

  • AMA agrees with governors on expanding PA scope of practice

    The American Medical Association said it concurs with a National Governors Association's recommendation that states should expand practice parameters for physician assistants to help treat increasing numbers of patients under the Affordable Care Act. AMA President Dr. Robert Wah said the recommendations align with the physician group's policy on using health care teams to ensure patient-centered quality care. HealthLeaders Media (9/29)

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