In phase 1 of HISPC, the Washington team completed the work summarized above. In phase 2, each state implemented a state-specific project and planned for multi-state collaboration in phase 3. Washington's phase 2 project established a governance structure to oversee implementation of HISPC recommendations through the Washington State Health Care Authority's Health Information Infrastructure Advisory Board (HIIAB). HIIAB has been funded by the state legislature through June, 2009 to build a consumer-centric health record banking model. The HISPC project provided development of a minimum set of technical data standards for user/entity authentication. Additionally, a framework has been established to continue development of privacy and security standards for authorization, access, and transmission security and exchange protocols. Also, incentives to promote early and continuous adoption of the privacy and security technical standards through safe harbor-style protections were recommended. A framework to encourage consumer participation in Personal Health Records (PHR) and Health Record Banking (HRB) has been developed that address education, consent forms, consumer controlled security levels, standard data sets, and incentives.
