Introduction to Strategic Plan FY 2019-2022

The Health Resources and Services Administration (HRSA), within the U.S. Department of Health and Human Services, is the primary federal agency responsible for improving access to health care and building health systems for the tens of millions of people who are geographically isolated and/or economically or medically vulnerable.

HRSA programs also help those in need of high-quality primary health care, including people living with HIV/AIDS, pregnant women, and mothers. Finally, HRSA supports the training of health professionals, the distribution of providers to areas where they are needed most, and improvements in health care delivery.


To improve health outcomes and address health disparities through access to quality services, a skilled health workforce, and innovative, high-value programs.

Guiding Principles

HRSA’s approach to meeting its mission is driven by the following principles, which will guide all aspects of organizational decision making and resource allocation:

  • Ensure programs support access to high-quality health care to the people HRSA serves
  • Implement value-based health care delivery for all programs to reduce waste and contain costs
  • Focus on achieving results for the populations served, by engaging in ongoing assessments to identify population needs and facilitating more timely and higher quality data to support real time decision making, supporting evidence-based and informed practices, monitoring impact, and adjusting programs to improve outcomes
  • Partner with an inclusive array of stakeholders, including individuals, families, and communities; federal, state, local, territorial, and tribal organizations; and the public, private, and international sectors to achieve optimal health outcomes
  • Build integrated approaches to facilitate collaboration and efficiency, and remove silos and barriers among HRSA Bureaus and Offices, so that the programs provide the best services and support to meet the complex needs of the populations the agency serves
  • Reduce regulatory and administrative burdens on our grantees and partners
  • Effectively communicate HRSA’s mission, goals, and programs to internal and external stakeholders
  • Emerge as a leading agency in harnessing technology and adopting innovative practices to improve health outcomes
  • Conduct and support high caliber evaluations and research focusing on increasing access to quality services, developing an effective health care workforce, and fostering development of innovative programs
  • Strengthen the HRSA workforce to attain the highest organizational performance


This HRSA Strategic Plan FY 2019 – FY 2022 (hereafter referred to as the Strategic Plan) is a blueprint for HRSA as it addresses ongoing access and service delivery needs in the context of an evolving health care system.

The Strategic Plan reflects the agency’s commitment to build upon past successes while advancing its mission to improve health outcomes through access to quality services, a skilled health workforce, and innovative, high-value programs.

The Strategic Plan sets forth five mission-critical goals:

Goal 1: Improve Access to Quality Health Care and Services

Goal 2: Foster a Health Care Workforce Able to Address Current and Emerging Needs

Goal 3: Enhance Population Health and Address Health Disparities through Community Partnerships

Goal 4: Maximize the Value and Impact of HRSA Programs

Goal 5: Optimize HRSA Operations to Enhance Efficiency, Effectiveness, Innovation, and Accountability

For each of these goals, objectives and sub-objectives are delineated to provide greater clarity and focus for aligning HRSA programs and activities. Although presented separately, these goals are interrelated. The successful achievement of one goal can impact the success of others; activities addressing one goal can concomitantly address another.  


The HRSA Strategic Plan will help inform program- and operational-level planning and resource allocation decisions over the next four years. It aligns with the U.S. Department of Health and Human Services’ (HHS) 2018–2022 Strategic Plan and will directly support the priorities of the administration and the HHS Secretary and other areas mandated by law.

Finally, the HRSA Strategic Plan reinforces principles of organizational efficiency and effectiveness to better meet the needs of the populations HRSA serves and ensure effective use of taxpayer dollars.



Date Last Reviewed:  June 2019