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.


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

News And Research

  • Study: Hospitalizations not decreasing for Medicare ACOs

    A study published in Health Affairs showed hospitalizations from 2012 to 2014 overall did not decrease for accountable care organization patients in the Medicare Shared Savings program. Savings in the Medicare ACO program were associated with low-risk patients, not the high-risk patients that account for a bigger share of health care costs, the study found. Modern Healthcare (tiered subscription model) (12/11) Learn More

  • Hospitals pay close attention to ratings

    Hospitals take their quality ratings seriously, touting good reviews and even suing ratings agencies over bad ones, in the case of one facility in Chicago. How ratings affect patient decisions is not clear, but hospitals believe they affect public perception, competition and partnership opportunities. Kaiser Health News (12/11) Learn More

  • Patients, physicians differ on meaning of high-quality care

    A survey commissioned by the University of Utah Health and conducted by Leavitt Partners found that when it comes to achieving high-value care, patients are more concerned with affordability and convenience, while physicians focus on relationships and outcomes. "A lot of those things that patients value like the ability to schedule an appointment or a convenient location, those are what traditionally physicians would view as patient experience, but patients would actually say those are indicators of quality (of care)," said Bob Pendleton, chief medical quality officer at the University of Utah Health. Modern Healthcare (tiered subscription model) (12/8) Learn More