MEASURE Evaluation. 2020. Health Information Systems Stages of Continuous Improvement Toolkit: User Guide (PDF, 719 KB). Chapel Hill, NC: MEASURE Evaluation, University of North Carolina.

Strong health information systems (HIS) are essential for a country to meet its health goals. A strong HIS
should be well-defined, comprehensive, functional, adaptable and resilient, and scalable (MEASURE
Evaluation, 2018a). The system should be able to collect, manage, analyze, and disseminate health data in a
timely manner, so that managers can make decisions, track progress, and provide feedback on HIS
performance to improve data quality and use. To accomplish these tasks, HIS stakeholders must know the
state of their system on the continuum to a strong HIS and understand what is needed to continuously
improve HIS performance.