This document discusses hierarchy of needs and information in high performing delivery systems. It notes that consumers, sponsors, providers need to know information. It discusses ensuring information about each consumer and customer is acquired and stored once. It provides examples of hierarchy such as the federal budget flowing to states to counties to cities. It discusses keeping information hierarchies and valid data capture while allowing easy, low-cost access and delivery. It also discusses privacy, speed and accuracy when information is built once and used by many.