Trends in healthcare are toward more data, more complexity, more decisions, and less time and resource for execution. The only way to be successful in this environment is to leverage a more advanced framework for healthcare analytics. This seminar will discuss best practices in healthcare delivery and architecture frameworks for realisation of decisioning services for improving quality and efficiency of care. A reference architecture for deployment will be described in detail along with cases studies of successful realisation in major healthcare organisations within the United States. Special emphasis will be placed on the value proposition for integration of disparate data sources such as Medicaid, TANF, Child Support, and SACWIS.