Nick Macchione, MS, MPH, FACHE has more than 22 years of experience in the planning, management, and delivery of public health care and human services. As Director of the Health and Human Services Agency (HHSA) for the County of San Diego, he oversees an annual budget of $1.8 billion and a workforce of more than 5,600 employees.
Mr. Macchione implements policy directives of the Board of Supervisors and the County’s Chief Administrative Officer and manages the day-to-day operations and functions of the Agency which provides a wide range of health and social services. Services 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, disaster preparedness, adoptions and foster youth programs, operation of two hospitals dedicated for psychiatry and the medically disabled, and numerous other specialized programs.
Prior to becoming the Director of HHSA, Mr. Macchione served 10 years as HHSA’s Deputy Director and one year as an executive with the former County of San Diego Department of Public Health. Mr. Macchione has also worked for 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 of the San Diego State University (SDSU) 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.