The District of Columbia’s (DC) State Health Planning and Development Agency (SHPDA) is responsible for developing a comprehensive Health Systems Plan (HSP). The primary purpose of the HSP is to serve as a roadmap for the development of a comprehensive, accessible, equitable health care system capable of providing the highest quality services in a cost effective manner to those who live and work in DC. The HSP is informed by a comprehensive needs assessment that clarifies community need, barriers to care, unmet service need, provider capacity, and service gaps across all health service categories.