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

  • Higher costs may not mean better quality care, study says

    An analysis of Medicare claims for six different cancer surgeries between 2005 and 2009 found higher spending was tied to worse quality care. The study in the journal Surgery found high-volume surgeons had better outcomes and lower costs due to their use of processes of care tied to improved outcomes. United Press International (4/26) Learn More

  • ACOs improving care for R.I. Medicaid beneficiaries

    The quality of care for Medicaid beneficiaries in Rhode Island has improved and costs have declined since the state launched a Medicaid accountable care program, says Jim Fanale, chief clinical officer at Care New England. Modern Healthcare (tiered subscription model) (4/22) Learn More

  • Model shows promise in predicting pediatric ED admissions

    Researchers found that a new prediction model yielded 90% specificity in determining 73.4% of hospitalizations within 30 minutes of pediatric emergency department presentation and 99.5% specificity for 35.4% of hospitalizations. The findings in Pediatrics, based on an analysis of 2014 to 2015 data involving 59,033 patient visits at the Boston Children's Hospital ED, also showed that real-time application of the model may allow the ED to save 5,917 hours per year or 30 minutes per hospitalization. Physician's Briefing/HealthDay News (4/25) Learn More

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