The heartbeat of the healthcare workforce

August 5, 2024 | Nick Macchione - Chief Health Officer at UC San Diego Health
A red, blue and orange illustration of two hands cradling a red heart shape. The heart is showing a white heartbeat signal at the center of it

Population health is about all of us. It is about giving people the accurate and timely information they need to make knowledgeable decisions for their own well-being. It’s about training a whole array of health professionals, such as nurses, medical lab technicians, behavioral health professionals, and other healthcare workers who reflect the rich diversity of our region. And it’s about engaging the community and providing holistic resources that help people live well and thrive. 

Nick Macchione is wearing a blue suit in a portrait photo
Nick Macchione - Chief Health Officer at UC San Diego Health

In all those ways and more, San Diego Community College District plays a key role as the heartbeat of healthcare workforce development in San Diego. The District supports the well-being of all San Diegans, including through low-cost or no-cost career-training programs that equip the next generation of health and wellness professionals needed to keep our diverse, cross-border community thriving. That work has never been more important: 

SDCCD colleges are a linchpin in preparing students in our community to step into many of these vital jobs, while also offering affordable education pathways to healthcare careers that require advanced degrees. The District’s career-training programs range from nursing, physical therapy and medical technicians, to nutrition, mental health counseling, and health information management. The professionals they train include many first-generation college students, people of color, English language learners and others from underserved communities.

In my 15 years leading the County of San Diego Health and Human Services Agency — the largest public health employer in the region — some of my best frontline managers came with associate degrees from San Diego community colleges. The same theme emerged in speaking with CEOs of other large local healthcare systems —employees that come from community colleges bring a deep sense of purpose, passion and skill to their work.

Just as important as feeding the healthcare workforce, SDCCD’s colleges make a significant impact on the overall health of our community by supporting residents, including underserved communities, with no-cost or low-cost programs and services that have tremendous health benefits. Those programs and services include on-campus clinics, health and fitness classes like yoga and nutrition, mental health counseling and more.

According to a 2023 economic impact report, the District’s four colleges — San Diego City College, Mesa College, Miramar College, and the College of Continuing Education — contribute $4.5 billion to our region’s economy, which for the people who live here means more access to jobs, food, housing, and healthcare — building blocks for a better quality of life.

San Diego’s healthcare industry is committed to prioritizing community engagement and promoting social justice by addressing social determinants of health and advocating for policies that support health equity. San Diego Community College District is a leader in our city and county, and an incredibly valued partner in that pursuit.  


Nick Macchione, M.S., M.P.H., F.A.C.H.E., is Chief Health Officer at UC San Diego Health and the former director of the County of San Diego’s Health and Human Services Agency. He has more than 35 years of clinical and executive experience leading and managing large, complex service health and human service delivery systems with a mission to help all people live well and thrive.

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