Case Study • 205
e actual governance model adopted by each state was determined by
the authority vested in the state-designated entity by the governor, or by
the legislature in states with statutory mandates. e governance model
reected the types of public–private policy approaches adopted by the state
and the strategy for implementing the technical HIE architecture. Given
the exibility open to state-designated entities for designing state-level
governance models, each state still faced four basic tasks for establishing
that governance: (1) creating trust and stakeholder buy-in, (2)coordinating
HIE strategic planning, (3) guring out resources and sustainability, and
(4) establishing accountability requirements (State Level HIE Consensus ...