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MHA FPX 5062 Assessment 1 Stakeholder Matrix

MHA FPX 5062 Assessment 1 Stakeholder Matrix

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MHA-FPX5062 Healthcare Delivery: New Environments in Health Informatics

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Stakeholder Matrix

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Key

Key Personnel: Position and Department Key Roles Within HIM System Reports to? Or Manages Whom? Systems, Software, or Technology Used Current Stakeholders (Include Rationale)
Chief Financial Officer (CFO) Oversees the organization’s financial functions, including budgeting, revenue management, and billing accuracy. Plays a crucial role in ensuring the financial stability and regulatory compliance of the HIM system. Reports directly to the Chief Executive Officer (CEO) and Board of Trustees. Manages the Director of Financial Services and Director of Business Services. Financial management systems, billing software, and reimbursement platforms. Insurance companies – for billing and claims accuracy. Vendors – for supply and technology maintenance. CEO – oversees hospital-wide operations. Board of Trustees – ensures fiscal accountability.
Chief Medical Officer (CMO) Responsible for clinical oversight, ensuring medical policies align with evidence-based practices and patient safety standards. Supervises EHR operations for compliance with clinical documentation standards. Reports to the Board of Trustees. Oversees the Chief Quality Officer, Chief Nursing Officer, and Chiefs of Therapeutic and Diagnostic Services. EHR systems, Computerized Physician Order Entry (CPOE), clinical data software. Accrediting bodies (e.g., The Joint Commission) – ensure compliance with quality standards. CMS – monitors regulation adherence for Medicare/Medicaid patients. State Health Department – ensures patient safety. Insurance companies – manage reimbursement processes.
Chief Nursing Officer (CNO) Manages all nursing departments, including staff scheduling, payroll, and adherence to care standards. Ensures quality patient care and effective use of EHR documentation. Reports to the Chief Medical Officer. Supervises nursing managers, informatics coordinators, and accreditation specialists. EHR, patient flow tracking systems, scheduling tools, and payroll applications. Chief Quality Officer – monitors compliance and safety. Physicians – collaborate for coordinated care. Billing/Coding Department – ensures documentation accuracy. Admissions and Central Supply – manage patient flow and supplies. Patients – receive direct care and benefit from nursing quality.
Business Services Manager Oversees admission processes, human resources, and medical records management. Ensures compliance with confidentiality standards and efficient workflow integration with HIM systems. Reports to the Chief Financial Officer. Supervises admissions, HR, and medical records departments. EHR, scheduling, and billing software. CFO – utilizes operational data for budget analysis. Insurance companies – ensure timely claims. CMS – monitors compliance for reimbursement eligibility.
Information Technology (IT) Support Technician Provides technical support for the HIM and EHR systems. Ensures cybersecurity, data protection, and system performance. Reports to the IT Support Manager. Provides support to all end users but does not directly manage any department. EHR support systems, cybersecurity software, and network monitoring tools. Chief Medical Officer – ensures EHR uptime for clinical operations. End Users (clinicians and staff) – depend on IT for troubleshooting and education.
Nurse (Inpatient and Outpatient) Responsible for documenting care delivery, administering medications, and coordinating with physicians through the EHR system. Reports to Nurse Managers. Collaborates with interdisciplinary healthcare teams. EHR, scheduling software, CPOE, laboratory and radiology systems. Patients – directly impacted by nursing documentation accuracy. Physicians – rely on nurse input for care decisions. CNO – oversees safety and quality.
Laboratory Technician Conducts diagnostic tests, manages sample collection, and inputs results into the HIM system for provider access. Reports to the Clinical Laboratory Manager. Laboratory Information System (LIS), EHR, and scheduling systems. Patients – rely on timely and accurate results. Physicians – base treatment plans on lab data. Insurance providers – require accurate testing data for claims.
Pharmacist Dispenses prescribed medications, offers guidance on proper medication use, and ensures compliance with pharmaceutical standards. Reports to the Pharmacy Manager. Pharmacy Information System, EHR. Patients – require accurate prescriptions. Physicians – collaborate for medication management. Billing Department – uses data for reimbursement documentation.

Written Overview

The assessment of the hospital’s current Electronic Health Record (EHR) infrastructure has revealed several functional limitations, particularly in system integration and user competency. Findings from staff interviews and literature support (Jeyakumar et al., 2021; Meyerhoefer et al., 2018) highlight that many of these issues stem from insufficient training during system implementation. A significant gap is the lack of seamless communication between laboratory, radiology, and billing systems, which often results in delays and data inaccuracies.

To address these inefficiencies, implementing an integrated EHR platform that connects all major departments—including laboratory, radiology, and inpatient services—is essential. This approach ensures that all patient data flows cohesively across departments, enhancing billing accuracy, care coordination, and clinical decision-making (Meyerhoefer et al., 2018).

Healthcare leaders face internal and external challenges associated with evolving health informatics. Externally, new legislation such as the Health Information Technology for Economic and Clinical Health (HITECH) Act has prioritized the secure and meaningful use of electronic health information (HHS, n.d.). Internally, organizations must continuously adapt to technological advancements by updating workflows, retraining staff, and fostering an environment that encourages innovation.

Healthcare managers are responsible for aligning these technological shifts with organizational strategy. This includes integrating systems to ensure interoperability, safeguarding patient privacy, and promoting data-driven care. The implementation of advanced health informatics tools transforms not only clinical operations but also the overall culture of care delivery, enabling more efficient, accurate, and collaborative patient management (Jeyakumar et al., 2021).

Technological evolution continues to redefine the healthcare environment by streamlining processes that were once paper-based. The shift toward digital systems increases data accessibility, facilitates interdisciplinary communication, and enhances patient outcomes. As the healthcare industry progresses, the integration of information systems will remain a vital component of operational excellence and regulatory compliance.

References

Health and Human Services (HHS). (n.d.). HITECH Act enforcement interim final rule. U.S. Department of Health and Human Services. https://www.hhs.gov/hipaa/for-professionals/special-topics/hitech-act-enforcement-interim-final-rule/index.html

Jeyakumar, T., Lowe, M., Hodges, B., Fur, K., Javier-Brozo, M., Tassone, M., Anderson, M., Tripp, T., & Wiljer, D. (2021). An education framework for effective implementation of a health information system: Scoping review. Journal of Medical Internet Research, 23(2), e24691. https://doi.org/10.2196/24691

MHA FPX 5062 Assessment 1 Stakeholder Matrix

Meyerhoefer, C. D., Sherer, S. A., Deily, M. E., Chou, S. Y., Guo, X., Chen, J., Sheinberg, M., & Levick, D. (2018). Provider and patient satisfaction with the integration of ambulatory and hospital EHR systems. Journal of the American Medical Informatics Association, 25(8), 1054–1063. https://doi.org/10.1093/jamia/ocy048

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