With over 30 years’ experience in the delivery, management and public policy of health and human services, Nick Macchione serves as San Diego County’s Director of the Health and Human Services Agency. He helps improve the lives of over one million San Diegans through a professional workforce of 6,400 employees and $2+ billion annual operating budget, including 166 citizen advisory boards/commissions and over 500 contracted community service providers. With a county population of 3.3 million, his Agency is one of the largest, integrated health and human services networks in the nation. With a passionate focus on practical innovation for improving the quality of life of people, Macchione directs the delivery of health and social service safety net programs, including public health services; emergency medical services and disaster response; behavioral health services; Medicaid managed care and other safety net health insurance programs; nutrition assistance for the indigent; child welfare, adult protective services; family and community violence prevention, public housing and community development services, parenting and early childhood development programs, support services for active duty military, veterans and their families. Also, he oversees the operations of the County’s Psychiatric Hospital; Edgemoor Skilled Nursing Facility; Children’s Emergency Shelter; and a residential high school for foster youth. Macchione implements policy direction for an elected Board of Supervisors and works closely with other elected leaders, including executive/legislative branches from states, federal, and international governments, city mayors/councilmen, district attorney, sheriff and superior court judges.
Throughout his entire public service career, Macchione has served as a community strategist, convener, and leader of large scale population-based improvements. Most notably, during the past nearly 9 years in his role as Agency Director, he has helped develop, implement and grow a bold and ambitious countywide “social movement” known as Live Well San Diego. This groundbreaking data-driven strategy is a high level, collective impact for population health and social well-being improvement. Live Well San Diego is being implemented countywide with over 250 public private partnerships representing over 2.2 million residents across all industry sectors. As a result of this community transformation, his Agency and community partners have earned numerous accolades for their innovative, cost effective solutions in improving the health, safety and well-being for San Diegans. In addition, Macchione has received numerous leadership awards and honors. Most recently, he was named by Governing Magazine as a national Public Official of the Year for his career accomplishments in developing innovative health, housing and human services.
Macchione has been actively involved in community and professional activities at both the national and regional level. Macchione is a Fellow of the American College of Healthcare Executives, having previously served a 3-year term as the elected Regent for San Diego/Imperial Counties. He is a Public Health Leadership Scholar with the Public Health Institute/federal CDC and a Creating Healthier Communities Fellow of the American Hospital Association. He serves on numerous national and regional boards, including serving as co-chair of the Milbank Memorial Funds’ Reforming States Group, National Association of Counties’ health committees, executive steering committee for Harvard University’s Human & Human Services Summit, and Aspen Institute’s TeamWorks project for state health departments. Macchione holds dual masters’ degrees from Columbia University and New York University where he specialized in health services management and health policy. Also, he earned a senior healthcare leadership certificate from Harvard University. For the past 19 years, he has been an instructor and faculty member at San Diego State University’s Graduate School of Public Health and holds the endowed position of the John Hanlon Executive Scholar for the division of health management and policy.