Dr. Rajiv Pramanik is the Chief Medical Informatics Officer at Contra Costa Health Services (CCHS). In this role, he serves as Chair of the Office of Informatics and Technology and Chair of the Information Technology Steering Committee (ITSC) for Contra Costa Health Services. The ITSC has oversight of all technology at CCHS which has approximately a 2 billion dollars in revenue and is the largest department at Contra Costa County. CCHS has a traditional delivery system, and in addition has a health plan (CCHP) with approximately 190K lives, Public Health Division, Behavioral Health Division, Environment and Hazardous Waste Divisions and oversight on EMS for the county. Dr. Pramanik also has the analytics team report through his office at the Office of the Director of CCHS to drive data driven decision making.