DHSS and its stakeholders worked exhaustively to research and analyze health data to create the State Health Assessment, published in 2021. This data-driven approach led to the development of 17 key public health issues facing the State of Missouri. These key public health issues then informed the creation of six Strategic Priority Issues.

To address the Strategic Priority Issues, the DHSS reaccreditation team developed the State Health Improvement Plan (SHIP), which breaks down each Strategic Priority Issue into goals with their own metrics, activities, resources and alignment with national, state and local organizations.