SASH® (Support and Services at Home)
SASH® (Support and Services at Home) is a nationally acclaimed program that supports the health and well-being of Medicare recipients -- typically adults 65 and older and people with disabilities. It is a free, voluntary program, developed by Cathedral Square and funded in Vermont by OneCare Vermont and the Vermont Department of Disabilities, Aging & Independent Living. It is part of the state's initiative to reform health care by investing in wellness and addressing the social determinants of health, including housing.
SASH is based in affordable-housing communities throughout Vermont, providing care and programming right where people live. It is available to all Cathedral Square residents in independent and assisted living.
SASH participants create their own "healthy living plans" and participate in SASH programs, events and activities as they choose. An on-site SASH coordinator and wellness nurse provide regular check-ins and create programming targeted to the needs and desires of residents. Programming ranges from exercise classes and educational sessions to cooking classes, guest lectures and performances, outings and social activities.
The SASH coordinator and wellness nurse spring into action if a participant has a critical health care need or encounters a health crisis. Working with a local team of health care providers, area agencies on aging, hospitals, and member affiliates of Vermont Care Partners and the VNAs of Vermont to coordinate all necessary care and treatment. This relieves the participant of having to manage this care on their own and ensures that the care they receive is consistent, effective and cost-efficient. This helps SASH participants remain living independently in their own home as they age.
In addition to helping improving the health of participants, SASH has been independently documented to reduce Medicare and Medicaid expenditures for participants.
SASH is based in 140 affordable-housing communities in Vermont and serves up to 5,000 participants statewide at any given time. Beyond Vermont, SASH is the inspiration for a seven-state demonstration by the U.S. Department of Housing & Urban Development, and it has been replicated by affordable-housing providers in Rhode Island and Minnesota. Providers in additional states are working with the National Well Home Network to bring SASH to their region.