The American College of Cardiology and Institute for Healthcare Improvement started the national “Hospital to Home,” or H2H program. This program is a resource for hospitals and cardiovascular care providers committed to improving transitions from hospital to “home” and reduce their risk of readmission penalties.9 In 2010, Dr. Larry Allen, an advanced CHF and transplant physician, identified a need at his own hospital, and started a Colorado-based H2H in 2010. Like Duke, Colorado has re-engineered its care of CHF, but with a very specific focus on using technological innovation to reduce length of inpatient hospitalizations and reduce readmissions