Mich. FD to Pair Community Health Worker with EMS to Ease 911 and ER Load

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By MES Dispatch staff

The Briefing

  • Grand Rapids, Mich. — The Grand Rapids Fire Department and Corewell Health will pilot a community health worker (CHW) response alongside EMS to steer low-acuity 911 callers toward primary care and social services. FireRescue1
  • Timeline/scale: Six-month pilot begins January; embeds a full-time CHW with GRFD resources at no additional cost to the departmentFireRescue1
  • Why it matters: GRFD handles 17,000+ medical-related calls/year; many are driven by social needs (medication access, food, transportation), not emergencies. FireRescue1
  • Goals/metrics: Cut preventable ED visits and repeat 911 calls; measure success via community feedback and reductions in repeat users and ED utilization. FireRescue1

GRAND RAPIDS, Mich. — The Grand Rapids Fire Department is teaming with Corewell Health on a first-of-its-kind partnership in Michigan that inserts a community health worker (CHW) into the emergency response for low-acuity 911 calls, aiming to connect residents with primary care, medications and social supports instead of defaulting to ambulance transports and emergency departments. The six-month pilot starts in JanuaryFireRescue1

GRFD leadership said the program targets calls where the real problem is access—prescriptions, food, transportation, a doctor’s appointment—rather than a time-sensitive medical emergency. The CHW will ride with GRFD’s assigned EMS resource, help triage needs on scene, and coordinate follow-up care to reduce repeat 911 use and preventable ED visitsFireRescue1

The fire department will repurpose an existing EMS captain, vehicle and equipment, keeping the pilot cost-neutralfor GRFD, while Corewell Health supplies the CHW and plans to scale based on results. At conclusion, the partners will evaluate outcomes using community feedback and data on repeat-caller reductions and ED utilizationFireRescue1

Officials characterized the expected impact as small caseload, big benefit: even a few hundred avoided transports annually would free ambulances, open ED capacity and get patients closer to the right care—all while reducing crew burnout on recurring non-emergent runs. FireRescue1

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