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

  • Mich. project to link health care with social services

    A Michigan pilot project slated for 2017 will align the state's health care system more closely with social service organizations to improve coordination of patient care. Michigan's Blueprint for Health Innovation initially will focus on reducing unnecessary and high levels of emergency department services usage but will eventually connect certified patient-centered medical homes, accountable care hospitals, payers and social service organizations. Crain's Detroit Business (tiered subscription model) (9/18) Learn More

  • Medicaid spends less on care at community health care centers

    Compared with other health care providers, spending on care at nonprofit community health centers is $2,371 less per Medicaid patient, in part because the care is associated with 25% fewer hospitalizations and 33% less spending on specialty care. Dan Hawkins of the National Association of Community Health Centers says community health care centers' low-income patient populations mean value is central to care decisions. The study will be published in the American Journal of Public Health. HealthLeaders Media (9/21) Learn More

  • Fresh food access is not a marker for HF readmissions

    Limited access to fresh foods is not a marker for higher heart failure readmissions, according to a study presented at the Heart Failure Society of America Scientific Assembly. Researchers found patients with adequate access to fresh foods who were readmitted to the hospital within 30 days had higher mortality rates than those with low access to fresh foods. Healio (free registration) (9/21) Learn More

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