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WHITEPAPER

How California’s Department of Health Care Services connected strategy to delivery

An operating model built for the realities of the public sector

Executive summary

Government agencies operate under constraints most enterprises never face — fixed budgets, multi-year procurement cycles, and public accountability that demands every decision be documented and defensible. So how did one state agency cut its time to deliver from 18 months to a single week?

California's Department of Health Care Services (DHCS) built a connected operating model that links strategy to delivery without sacrificing the governance their mandate demands across a complex health initiative spanning 58 counties and hundreds of vendors.

Download our whitepaper to learn the specific decisions, frameworks, and system design choices that made this possible.

Key takeaways
  • Navigate constraints with confidence: Learn how DHCS turned fixed budgets, procurement cycles, and public scrutiny into a design advantage, not a blocker.
  • Build a connected operating model: Discover the pattern that links strategy, governance, and delivery into a single system, purpose-built for the realities of the public sector.
  • Move faster without cutting corners: See how DHCS gave leadership audit-ready visibility while accelerating delivery from 18 months to one week.