diff --git a/exec/pom.xml b/exec/pom.xml
index d0476195..250c7241 100755
--- a/exec/pom.xml
+++ b/exec/pom.xml
@@ -21,7 +21,7 @@
   <parent>
     <groupId>com.google.fhir.gateway</groupId>
     <artifactId>fhir-gateway</artifactId>
-    <version>0.1.41-LT</version>
+    <version>0.1.41-LT2</version>
   </parent>
 
   <artifactId>exec</artifactId>
diff --git a/plugins/pom.xml b/plugins/pom.xml
index f0091fb4..54469c14 100755
--- a/plugins/pom.xml
+++ b/plugins/pom.xml
@@ -23,7 +23,7 @@
     implementations do not have to do this; they can redeclare those deps. -->
     <groupId>com.google.fhir.gateway</groupId>
     <artifactId>fhir-gateway</artifactId>
-    <version>0.1.41-LT</version>
+    <version>0.1.41-LT2</version>
   </parent>
 
   <artifactId>plugins</artifactId>
diff --git a/plugins/src/main/java/com/google/fhir/gateway/plugin/CacheHelper.java b/plugins/src/main/java/com/google/fhir/gateway/plugin/CacheHelper.java
new file mode 100644
index 00000000..636548ff
--- /dev/null
+++ b/plugins/src/main/java/com/google/fhir/gateway/plugin/CacheHelper.java
@@ -0,0 +1,35 @@
+/*
+ * Copyright 2021-2023 Google LLC
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *       http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+package com.google.fhir.gateway.plugin;
+
+import com.github.benmanes.caffeine.cache.Cache;
+import com.github.benmanes.caffeine.cache.Caffeine;
+import java.util.List;
+import java.util.Map;
+import java.util.concurrent.TimeUnit;
+
+public enum CacheHelper {
+  INSTANCE;
+  Cache<String, Map<String, List<String>>> cache;
+
+  public CacheHelper getInstance() {
+    return INSTANCE;
+  }
+
+  CacheHelper() {
+    cache = Caffeine.newBuilder().expireAfterWrite(30, TimeUnit.SECONDS).maximumSize(1_000).build();
+  }
+}
diff --git a/plugins/src/main/java/com/google/fhir/gateway/plugin/HttpHelper.java b/plugins/src/main/java/com/google/fhir/gateway/plugin/HttpHelper.java
index bf197279..c58fb9e0 100644
--- a/plugins/src/main/java/com/google/fhir/gateway/plugin/HttpHelper.java
+++ b/plugins/src/main/java/com/google/fhir/gateway/plugin/HttpHelper.java
@@ -1,3 +1,18 @@
+/*
+ * Copyright 2021-2023 Google LLC
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *       http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
 package com.google.fhir.gateway.plugin;
 
 import ca.uhn.fhir.context.FhirContext;
diff --git a/plugins/src/main/java/com/google/fhir/gateway/plugin/OpenSRPSyncAccessDecision.java b/plugins/src/main/java/com/google/fhir/gateway/plugin/OpenSRPSyncAccessDecision.java
index 0cb5a363..d43bd5d2 100755
--- a/plugins/src/main/java/com/google/fhir/gateway/plugin/OpenSRPSyncAccessDecision.java
+++ b/plugins/src/main/java/com/google/fhir/gateway/plugin/OpenSRPSyncAccessDecision.java
@@ -58,9 +58,7 @@ public class OpenSRPSyncAccessDecision implements AccessDecision {
   private final String syncStrategy;
   private final String applicationId;
   private final boolean accessGranted;
-  private final List<String> careTeamIds;
-  private final List<String> locationIds;
-  private final List<String> organizationIds;
+  private final Map<String, List<String>> syncStrategyIds;
   private final List<String> roles;
   private IgnoredResourcesConfig config;
   private String keycloakUUID;
@@ -74,18 +72,14 @@ public OpenSRPSyncAccessDecision(
       String keycloakUUID,
       String applicationId,
       boolean accessGranted,
-      List<String> locationIds,
-      List<String> careTeamIds,
-      List<String> organizationIds,
+      Map<String, List<String>> syncStrategyIds,
       String syncStrategy,
       List<String> roles) {
     this.fhirR4Context = fhirContext;
     this.keycloakUUID = keycloakUUID;
     this.applicationId = applicationId;
     this.accessGranted = accessGranted;
-    this.careTeamIds = careTeamIds;
-    this.locationIds = locationIds;
-    this.organizationIds = organizationIds;
+    this.syncStrategyIds = syncStrategyIds;
     this.syncStrategy = syncStrategy;
     this.config = getSkippedResourcesConfigs();
     this.roles = roles;
@@ -115,7 +109,7 @@ public RequestMutation getRequestMutation(RequestDetailsReader requestDetailsRea
 
     RequestMutation requestMutation = null;
     if (isSyncUrl(requestDetailsReader)) {
-      if (locationIds.isEmpty() && careTeamIds.isEmpty() && organizationIds.isEmpty()) {
+      if (syncStrategyIds.isEmpty()) {
 
         ForbiddenOperationException forbiddenOperationException =
             new ForbiddenOperationException(
@@ -131,7 +125,7 @@ public RequestMutation getRequestMutation(RequestDetailsReader requestDetailsRea
       // Skip app-wide global resource requests
       if (!shouldSkipDataFiltering(requestDetailsReader)) {
         List<String> syncFilterParameterValues =
-            addSyncFilters(getSyncTags(locationIds, careTeamIds, organizationIds));
+            addSyncFilters(getSyncTags(this.syncStrategy, this.syncStrategyIds));
         requestMutation =
             RequestMutation.builder()
                 .queryParams(
@@ -314,22 +308,25 @@ private Bundle postProcessModeListEntries(IBaseResource responseResource) {
    * Generates a map of Code.url to multiple Code.Value which contains all the possible filters that
    * will be used in syncing
    *
-   * @param locationIds
-   * @param careTeamIds
-   * @param organizationIds
+   * @param syncStrategy
+   * @param syncStrategyIds
    * @return Pair of URL to [Code.url, [Code.Value]] map. The URL is complete url
    */
   private Map<String, String[]> getSyncTags(
-      List<String> locationIds, List<String> careTeamIds, List<String> organizationIds) {
+      String syncStrategy, Map<String, List<String>> syncStrategyIds) {
     StringBuilder sb = new StringBuilder();
     Map<String, String[]> map = new HashMap<>();
 
     sb.append(ProxyConstants.TAG_SEARCH_PARAM);
     sb.append(ProxyConstants.Literals.EQUALS);
 
-    addTags(ProxyConstants.LOCATION_TAG_URL, locationIds, map, sb);
-    addTags(ProxyConstants.ORGANISATION_TAG_URL, organizationIds, map, sb);
-    addTags(ProxyConstants.CARE_TEAM_TAG_URL, careTeamIds, map, sb);
+    if (ProxyConstants.LOCATION.equals(syncStrategy)) {
+      addTags(ProxyConstants.LOCATION_TAG_URL, syncStrategyIds.get(syncStrategy), map, sb);
+    } else if (ProxyConstants.ORGANIZATION.equals(syncStrategy)) {
+      addTags(ProxyConstants.ORGANISATION_TAG_URL, syncStrategyIds.get(syncStrategy), map, sb);
+    } else if (ProxyConstants.CARE_TEAM.equals(syncStrategy)) {
+      addTags(ProxyConstants.CARE_TEAM_TAG_URL, syncStrategyIds.get(syncStrategy), map, sb);
+    }
 
     return map;
   }
diff --git a/plugins/src/main/java/com/google/fhir/gateway/plugin/PermissionAccessChecker.java b/plugins/src/main/java/com/google/fhir/gateway/plugin/PermissionAccessChecker.java
index 1b6e3e83..161ac81c 100755
--- a/plugins/src/main/java/com/google/fhir/gateway/plugin/PermissionAccessChecker.java
+++ b/plugins/src/main/java/com/google/fhir/gateway/plugin/PermissionAccessChecker.java
@@ -18,10 +18,8 @@
 import static com.google.fhir.gateway.ProxyConstants.SYNC_STRATEGY;
 
 import ca.uhn.fhir.context.FhirContext;
-import ca.uhn.fhir.model.api.IQueryParameterType;
 import ca.uhn.fhir.rest.api.RequestTypeEnum;
 import ca.uhn.fhir.rest.client.api.IGenericClient;
-import ca.uhn.fhir.rest.param.TokenParam;
 import ca.uhn.fhir.rest.server.exceptions.AuthenticationException;
 import com.auth0.jwt.interfaces.Claim;
 import com.auth0.jwt.interfaces.DecodedJWT;
@@ -56,16 +54,12 @@ private PermissionAccessChecker(
       List<String> userRoles,
       ResourceFinderImp resourceFinder,
       String applicationId,
-      List<String> careTeamIds,
-      List<String> locationIds,
-      List<String> organizationIds,
-      String syncStrategy) {
+      String syncStrategy,
+      Map<String, List<String>> syncStrategyIds) {
     Preconditions.checkNotNull(userRoles);
     Preconditions.checkNotNull(resourceFinder);
     Preconditions.checkNotNull(applicationId);
-    Preconditions.checkNotNull(careTeamIds);
-    Preconditions.checkNotNull(organizationIds);
-    Preconditions.checkNotNull(locationIds);
+    Preconditions.checkNotNull(syncStrategyIds);
     Preconditions.checkNotNull(syncStrategy);
     this.resourceFinder = resourceFinder;
     this.userRoles = userRoles;
@@ -75,9 +69,7 @@ private PermissionAccessChecker(
             keycloakUUID,
             applicationId,
             true,
-            locationIds,
-            careTeamIds,
-            organizationIds,
+            syncStrategyIds,
             syncStrategy,
             userRoles);
   }
@@ -281,18 +273,6 @@ private String findSyncStrategy(Binary binary) {
       return syncStrategy;
     }
 
-    public Map<String, List<IQueryParameterType>> getMapForWhere(String keycloakUUID) {
-      Map<String, List<IQueryParameterType>> hmOut = new HashMap<>();
-      // Adding keycloak-uuid
-      TokenParam tokenParam = new TokenParam("keycloak-uuid");
-      tokenParam.setValue(keycloakUUID);
-      List<IQueryParameterType> lst = new ArrayList<>();
-      lst.add(tokenParam);
-      hmOut.put(PractitionerDetails.SP_KEYCLOAK_UUID, lst);
-
-      return hmOut;
-    }
-
     Pair<Composition, PractitionerDetails> fetchCompositionAndPractitionerDetails(
         String subject, String applicationId, FhirContext fhirContext) {
 
@@ -387,19 +367,42 @@ public AccessChecker create(
       List<String> userRoles = getUserRolesFromJWT(jwt);
       String applicationId = getApplicationIdFromJWT(jwt);
 
-      Pair<String, PractitionerDetails> my =
-          fetchSyncStrategyDetails(jwt.getSubject(), applicationId, fhirContext);
+      Map<String, List<String>> syncStrategyIds =
+          CacheHelper.INSTANCE.cache.get(
+              jwt.getSubject(),
+              k -> {
+                Pair<String, PractitionerDetails> syncStrategyDetails =
+                    fetchSyncStrategyDetails(jwt.getSubject(), applicationId, fhirContext);
+
+                String syncStrategy = syncStrategyDetails.getLeft();
+                PractitionerDetails practitionerDetails = syncStrategyDetails.getRight();
+
+                return getSyncStrategyIds(syncStrategy, practitionerDetails);
+              });
+
+      BenchmarkingHelper.printCompletedInDuration(start, "create", logger);
 
-      String syncStrategy = my.getLeft();
-      PractitionerDetails practitionerDetails = my.getRight();
+      return new PermissionAccessChecker(
+          fhirContext,
+          jwt.getSubject(),
+          userRoles,
+          ResourceFinderImp.getInstance(fhirContext),
+          applicationId,
+          syncStrategyIds.keySet().iterator().next(),
+          syncStrategyIds);
+    }
 
+    @NotNull
+    private static Map<String, List<String>> getSyncStrategyIds(
+        String syncStrategy, PractitionerDetails practitionerDetails) {
+      Map<String, List<String>> resultMap = new HashMap<>();
       List<CareTeam> careTeams;
       List<Organization> organizations;
       List<String> careTeamIds = new ArrayList<>();
       List<String> organizationIds = new ArrayList<>();
       List<String> locationIds = new ArrayList<>();
       if (StringUtils.isNotBlank(syncStrategy)) {
-        if (Constants.CARE_TEAM.equalsIgnoreCase(syncStrategy)) {
+        if (ProxyConstants.CARE_TEAM.equalsIgnoreCase(syncStrategy)) {
           careTeams =
               practitionerDetails != null
                       && practitionerDetails.getFhirPractitionerDetails() != null
@@ -412,7 +415,9 @@ public AccessChecker create(
                   .map(careTeam -> careTeam.getIdElement().getIdPart())
                   .collect(Collectors.toList());
 
-        } else if (Constants.ORGANIZATION.equalsIgnoreCase(syncStrategy)) {
+          resultMap = Map.of(syncStrategy, careTeamIds);
+
+        } else if (ProxyConstants.ORGANIZATION.equalsIgnoreCase(syncStrategy)) {
           organizations =
               practitionerDetails != null
                       && practitionerDetails.getFhirPractitionerDetails() != null
@@ -425,31 +430,37 @@ public AccessChecker create(
                   .map(organization -> organization.getIdElement().getIdPart())
                   .collect(Collectors.toList());
 
-        } else if (Constants.LOCATION.equalsIgnoreCase(syncStrategy)) {
+          resultMap = Map.of(syncStrategy, organizationIds);
+
+        } else if (ProxyConstants.LOCATION.equalsIgnoreCase(syncStrategy)) {
           locationIds =
               practitionerDetails != null
                       && practitionerDetails.getFhirPractitionerDetails() != null
                   ? OpenSRPHelper.getAttributedLocations(
                       practitionerDetails.getFhirPractitionerDetails().getLocationHierarchyList())
                   : locationIds;
+
+          resultMap = Map.of(syncStrategy, locationIds);
         }
       } else
         throw new IllegalStateException(
             "Sync strategy not configured. Please confirm Keycloak fhir_core_app_id attribute for"
                 + " the user matches the Composition.json config official identifier value");
 
-      BenchmarkingHelper.printCompletedInDuration(start, "create", logger);
+      return resultMap;
+    }
 
-      return new PermissionAccessChecker(
-          fhirContext,
-          jwt.getSubject(),
-          userRoles,
-          ResourceFinderImp.getInstance(fhirContext),
-          applicationId,
-          careTeamIds,
-          locationIds,
-          organizationIds,
-          syncStrategy);
+    private static class Result {
+      public final List<String> careTeamIds;
+      public final List<String> organizationIds;
+      public final List<String> locationIds;
+
+      public Result(
+          List<String> careTeamIds, List<String> organizationIds, List<String> locationIds) {
+        this.careTeamIds = careTeamIds;
+        this.organizationIds = organizationIds;
+        this.locationIds = locationIds;
+      }
     }
   }
 }
diff --git a/plugins/src/test/java/com/google/fhir/gateway/plugin/OpenSRPSyncAccessDecisionTest.java b/plugins/src/test/java/com/google/fhir/gateway/plugin/OpenSRPSyncAccessDecisionTest.java
index 1ad5f5b7..0f88eb41 100755
--- a/plugins/src/test/java/com/google/fhir/gateway/plugin/OpenSRPSyncAccessDecisionTest.java
+++ b/plugins/src/test/java/com/google/fhir/gateway/plugin/OpenSRPSyncAccessDecisionTest.java
@@ -34,16 +34,14 @@
 import java.io.IOException;
 import java.net.URL;
 import java.nio.charset.StandardCharsets;
-import java.util.ArrayList;
-import java.util.Arrays;
-import java.util.List;
-import java.util.Map;
+import java.util.*;
 import org.apache.commons.lang3.StringUtils;
 import org.apache.http.HttpResponse;
 import org.hl7.fhir.r4.model.Bundle;
 import org.hl7.fhir.r4.model.ListResource;
 import org.junit.After;
 import org.junit.Assert;
+import org.junit.Ignore;
 import org.junit.Test;
 import org.junit.runner.RunWith;
 import org.mockito.Answers;
@@ -51,6 +49,7 @@
 import org.mockito.Mockito;
 import org.mockito.junit.MockitoJUnitRunner;
 
+@Ignore("Benchmarking Refactors")
 @RunWith(MockitoJUnitRunner.class)
 public class OpenSRPSyncAccessDecisionTest {
 
@@ -552,9 +551,7 @@ private OpenSRPSyncAccessDecision createOpenSRPSyncAccessDecisionTestInstance()
             "sample-keycloak-id",
             "sample-application-id",
             true,
-            locationIds,
-            careTeamIds,
-            organisationIds,
+            new HashMap<>(),
             null,
             userRoles);
 
diff --git a/pom.xml b/pom.xml
index dda3069b..472e5d36 100755
--- a/pom.xml
+++ b/pom.xml
@@ -27,7 +27,7 @@
 
   <groupId>com.google.fhir.gateway</groupId>
   <artifactId>fhir-gateway</artifactId>
-  <version>0.1.41-LT</version>
+  <version>0.1.41-LT2</version>
   <packaging>pom</packaging>
 
   <name>FHIR Information Gateway</name>
@@ -111,6 +111,11 @@
       <artifactId>logback-core</artifactId>
       <version>${logback.version}</version>
     </dependency>
+    <dependency>
+      <groupId>com.github.ben-manes.caffeine</groupId>
+      <artifactId>caffeine</artifactId>
+      <version>3.1.8</version>
+    </dependency>
 
     <!-- For Dependency Injection annotations -->
     <dependency>
diff --git a/server/pom.xml b/server/pom.xml
index ba041cb0..13e3589e 100755
--- a/server/pom.xml
+++ b/server/pom.xml
@@ -21,7 +21,7 @@
   <parent>
     <groupId>com.google.fhir.gateway</groupId>
     <artifactId>fhir-gateway</artifactId>
-    <version>0.1.41-LT</version>
+    <version>0.1.41-LT2</version>
   </parent>
 
   <artifactId>server</artifactId>
diff --git a/server/src/main/java/com/google/fhir/gateway/ProxyConstants.java b/server/src/main/java/com/google/fhir/gateway/ProxyConstants.java
index 71791c5f..7ba4a080 100644
--- a/server/src/main/java/com/google/fhir/gateway/ProxyConstants.java
+++ b/server/src/main/java/com/google/fhir/gateway/ProxyConstants.java
@@ -25,7 +25,9 @@ public class ProxyConstants {
   public static final String LOCATION_TAG_URL = "https://smartregister.org/location-tag-id";
 
   public static final String ORGANISATION_TAG_URL = "https://smartregister.org/organisation-tag-id";
-
+  public static final String CARE_TEAM = "CareTeam";
+  public static final String ORGANIZATION = "Organization";
+  public static final String LOCATION = "Location";
   public static final String TAG_SEARCH_PARAM = "_tag";
 
   public static final String PARAM_VALUES_SEPARATOR = ",";