Ottawa Pathways to Better Health

Do you need help with your HEALTH CARE?

Do you know someone who may benefit
from a Community Health Worker?

Make Referral

No fee for qualifying individuals.
Call (616) 393-5601

A program designed to assist people with accessing community services, to improve health outcomes and decrease unnecessary hospitalizations and emergency department visits.For more information about the program, please call (616) 393-5601

Eligibility Criteria
  • 18 years of age (or older) or pregnant;
  • Live in Ottawa County (including 49423 zip code);
  • Enrolled in or eligible for Medicare and/or Medicaid;
  • And have two or more chronic health conditions (such as diabetes, depression, anxiety, heart disease, arthritis, asthma, hypertension or long-term pain);
Community Health Workers (CHWs) are trusted members of your community who understand your needs and will serve as a link for you to health and social services. A CHW will:
  • Meet with you at your convenience,
  • Help you set goals,
  • Guide you through the health care system,
  • Link you to medical care for your specific needs (primary, dental, specialty, mental health, substance abuse treatment),
  • Help you manage your health conditions and prescriptions,
  • Help you reduce hospital and emergency room visits,
  • Link you to community services and resources (food, clothing, housing, financial and utility assistance, transportation, education, employment),
  • And much more.

Reference Card | Flyer for Agencies | Flyer for Participants (English) (Spanish)

Year 2 Progress Report