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Nick Macchione


Nick Macchione
Deputy Chief Administrative Officer
County of San Diego

Nick Macchione is the Director of the County of San Diego Health and Human Services Agency, overseeing an agency with an annual budget of more than $1.4 billion, and a workforce of more than 5,000 employees. The Health and Human Services Agency provides a wide range of health and social services. They include programs to increase access to health care for those without health insurance, child and adult mental health services, welfare-to-work employment assistance, programs to protect children and the elderly from abuse and neglect, alcohol and drug dependency treatment and prevention, immunizations, epidemiology and other public health programs, adoptions and foster youth programs, and operation of the Edgemoor Skilled Nursing Facility in East County.

Prior to becoming the Agency's Director, Mr. Macchione served 10 years as the Agency's Deputy Director and one year as an executive with the former county department of public health. Mr. Macchione has also worked in the State of New Jersey as Executive Director of a regional health planning organization addressing infectious diseases in a large metropolitan region.  Throughout his career, Mr. Macchione and his staff have received numerous awards for developing nationally recognized health and social service reform initiatives.  He is also the author of publications on health improvement and health information technology.

Mr. Macchione holds dual masters' degrees from Columbia University and New York University in New York City where he specialized in health services management and health policy.  He is a Fellow of the American College of Healthcare Executives, having completed a three-year term as an elected Regent for San Diego and Imperial Counties (2005-08).  He is a Public Health Leadership Scholar with the federal Centers for Disease Control and Prevention and a Creating Healthier Communities Fellow with the American Hospital Association's Health Forum.  In addition, for the past 11 years he has been an active faculty member in the Graduate School of Public Health teaching both graduate and undergraduate students.  As a tribute to his success as a healthcare executive, teacher and mentor, in 2007 he was inducted by San Diego State University's Graduate School of Public Health as an honorary member of Delta Omega of the Sigma chapter, and appointed as the John J. Hanlon Executive Scholar, an endowed position created to bridge the worlds of healthcare practice and healthcare administration.