SASH program significantly improves health outcomes for Vermont's seniors battling chronic conditions

The Vermont House Healthcare Committee convened on January 31, 2025, to discuss significant health initiatives impacting the state's aging population. The meeting highlighted the challenges faced by individuals on Medicare and the successes of the Support and Services at Home (SASH) program.

A key point of discussion was the prevalence of chronic conditions among SASH participants. While 52 percent of Medicare recipients nationally have three or more chronic conditions, an alarming 85 percent of SASH participants fall into this category, with an average of eight chronic conditions per individual. The age range of participants spans from 22 to 104 years, with an average age of 73.

The committee also reviewed a collaborative effort with the Vermont Department of Health focused on hypertension management. Nearly 900 SASH participants were identified as having high blood pressure, many of whom were previously unaware of their condition. The program successfully facilitated diagnosis and treatment, leading to significant reductions in systolic blood pressure over a three-year period.

Additionally, the meeting addressed the issue of falls among the elderly, a critical concern in Vermont. In 2022, 54 percent of participants reported having fallen in the past year. This figure has since decreased to 49 percent, indicating progress but underscoring the need for continued efforts to reduce fall risks. The program includes home visits to identify and mitigate trip hazards.

The committee also emphasized the importance of group programming, which includes exercise, health education, and social activities. A recent initiative featured square dancing, initiated by a participant who recently lost his wife, showcasing the program's role in fostering social connections and community engagement.

In conclusion, the meeting underscored the ongoing challenges and successes of healthcare initiatives in Vermont, particularly for the aging population. The committee plans to continue monitoring these programs and their impact on health outcomes for vulnerable residents.