Strategic planning focuses on long-term goals and objectives, while tactical planning focuses on short-term goals and implementation. It is important for healthcare organizations to have a strategic business plan to guide HIS and technology planning and ensure alignment. If no strategic plan exists, HIS planners should help develop one. The four quadrants of the HIS planning framework represent infrastructure, applications, user engagement, and outcomes. They are organized to achieve a balanced architecture that supports all areas. Key elements to consider include systems, security, analytics, and interoperability.