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


Interact with others on a listserv who share best practices and lessons learned.

Find out more

News And Research

  • Study: 39% of MI readmissions occur within 15 days

    Cleveland Clinic data from 2008 to 2012 showed 16% of myocardial infarction patients were readmitted to the hospital within three months, 39% of which occurred in the first 15 days after discharge, researchers reported in the Journal of the American College of Cardiology. The study found 47% of the readmissions were for MI or other cardiovascular reasons. MedPage Today (free registration) (8/14) Learn More

  • Nutrition program saves hospitals $4.8M

    Four Chicago-area hospitals saved more than $4.8 million through fewer readmissions and shorter stays after starting a patient nutrition care program to reduce malnutrition, researchers reported in American Health & Drug Benefits. The program included malnutrition screenings prompted by electronic health records, nutrition supplements, patient education and post-discharge dietary help. Becker's Hospital Review (8/11) Learn More

  • Report sheds light on pay raises in health care C-suite

    Health care executives who are believed to be most qualified to navigate toward value-based care -- such as chief strategy officers, top clinical research executives, top facilities executives and chief operating officers -- received the highest pay hikes from 2016 to 2017, according to Modern Healthcare's 37th annual Executive Compensation Survey. The poll also showed lower year-over-year median total compensation only among top medical informatics executives and chief technology officers at health systems and CEOs at independent hospitals. Modern Healthcare (tiered subscription model) (8/14) Learn More