MHA FPX 5062 Assessment 1 Stakeholder Matrix

Student Name

Capella University

MHA-FPX5062 Healthcare Delivery: New Environments in Health Informatics

Prof. Name:

Date

Stakeholder Matrix

The stakeholder matrix below outlines the key hospital personnel, their roles within the Health Information Management (HIM) system, reporting structures, and the stakeholders they interact with. This table also highlights the primary technologies and systems used by each role and provides a rationale for their involvement in the organization’s health information ecosystem.

Table 1

Key Personnel, Roles, Reporting Structure, and Stakeholders

Key Personnel (Position and Department)	Key Roles Within HIM System	Reports to / Manages Whom	Systems, Software, or Technology Used	Current Stakeholders (Include Rationale)
Chief Financial Officer (CFO)	Oversees all financial operations including budgeting, billing, accounting, and financial reporting. Ensures fiscal integrity and compliance with healthcare financial regulations.	Reports to the Chief Executive Officer (CEO) and the Board of Trustees. Manages the Directors of Financial and Business Services.	Financial management systems, billing systems, and accounting software.	Insurance companies – ensure accurate billing and reimbursements. Vendors – manage service contracts. CEO – oversees hospital performance. Board of Trustees – approves financial decisions.
Chief Medical Officer (CMO)	Leads medical staff, develops clinical policies, and supervises the implementation of EHR systems. Promotes clinical excellence and compliance.	Reports to the Board of Trustees. Manages Chief Nursing Officer (CNO), Chief Quality Officer, Chief Therapeutic Services Officer, and Chief Diagnostics Officer.	EHR, Computerized Physician Order Entry (CPOE).	Accrediting agencies (e.g., The Joint Commission) – ensure regulatory compliance. CMS and State Health Departments – monitor adherence to Medicare/Medicaid standards. Insurance companies – verify physician documentation and billing accuracy. Board of Trustees – responsible for governance.
Chief Nursing Officer (CNO)	Manages nursing operations, including staffing, scheduling, budgeting, and patient care quality. Oversees nursing documentation in the EHR system.	Reports to the Chief Medical Officer. Supervises nursing managers, informatics specialists, and accreditation managers.	EHR, patient flow systems, payroll and scheduling software.	Physicians – coordinate interdisciplinary care. Chief Quality Officer – monitors safety and quality metrics. Billing/Coding – ensures accurate nursing documentation. Admissions and Supply Services – maintain patient flow and resource availability. Patients – central focus of care delivery.
Business Services Manager	Oversees admissions, human resources, and medical records departments. Ensures efficient patient admissions, HR compliance, and record integrity.	Reports to the Chief Financial Officer. Manages Admission Services, HR, and Medical Records staff.	EHR, scheduling, and billing systems.	CEO – receives operational reports. CFO – reviews financial impact. Admissions Services – streamline patient registration. CMS and insurers – validate compliance and reimbursement.
Information Technology (IT) Support Technician	Maintains HIS infrastructure, ensures cybersecurity, and supports end users. Troubleshoots EHR, network, and system issues.	Reports to IT Support Manager.	Supports all EHR and related healthcare IT systems.	CMO – oversees EHR integration. End Users (staff) – rely on IT for system access and education. Data Security Officers – ensure compliance with privacy standards.
Registered Nurse (Inpatient/Outpatient)	Documents patient assessments, interventions, and outcomes. Uses EHR for care planning, medication administration, and physician order review.	Reports to Nurse Manager.	EHR, CPOE, laboratory, and radiology systems.	Patients – benefit from accurate documentation and care. Physicians – depend on nursing data for decision-making. CNO – ensures safe, efficient nursing operations.
Laboratory Technician	Conducts laboratory testing, ensures accurate data entry, and integrates results into EHR.	Reports to the Clinical Laboratory Manager.	Laboratory information systems, scheduling software, EHR.	Physicians – rely on test results for diagnosis and treatment. Patients – receive quality care based on accurate lab results. Insurance companies – require valid test documentation for billing.
Pharmacist	Dispenses medications, verifies physician orders, and consults with patients and physicians on drug management.	Reports to the Pharmacy Manager.	EHR, pharmacy information systems.	Patients – receive appropriate medications and counseling. Physicians – collaborate on prescriptions. Billing Department – ensures accurate charge capture.

Written Overview

Evaluation of the Current EHR System

An evaluation of the existing Electronic Health Record (EHR) system within the hospital revealed multiple operational inefficiencies and data integration issues. Interviews with healthcare staff confirmed that most challenges stem from limited user training during system implementation and inadequate interoperability between clinical systems. Consistent with findings by Jeyakumar et al. (2021) and Meyerhoefer et al. (2018), these gaps often lead to billing discrepancies and delays in clinical documentation accuracy.

To address these issues, implementing a fully integrated EHR platform that connects laboratory, radiology, ambulatory care, and inpatient systems is crucial. Such integration would foster seamless data exchange, minimize redundant documentation, and improve both billing accuracy and patient outcomes.

Managerial Challenges in Health Informatics

Healthcare managers face significant challenges due to evolving internal and external factors in health informatics. Externally, healthcare organizations must comply with stringent policies such as the Health Information Technology for Economic and Clinical Health (HITECH) Act, which encourages meaningful use of electronic health records (U.S. Department of Health and Human Services [HHS], n.d.). Additionally, shifts in reimbursement models, cybersecurity concerns, and regulatory updates further complicate operations.

Internally, the transition from manual to digital systems necessitates major changes in staff workflows, training, and interdepartmental collaboration. Effective leadership is required to ensure that health informatics systems are implemented efficiently, maintaining data integrity, privacy, and security. Moreover, fostering a culture that embraces digital transformation can improve user satisfaction and system adoption across departments (Meyerhoefer et al., 2018).

Impact of Environmental and Technological Changes

The healthcare landscape continues to evolve rapidly, driven by technological innovation, regulatory expectations, and increased patient engagement demands. The integration of systems—particularly laboratory and radiology with EHR platforms—significantly enhances data interoperability and clinical efficiency. This digital transformation allows multidisciplinary teams to collaborate more effectively, improving communication and patient-centered care.

The move from paper-based processes to digital documentation has increased the accessibility, accuracy, and reliability of health information. As noted by Jeyakumar et al. (2021), education and structured implementation frameworks are key to optimizing technology adoption in healthcare. Ultimately, these advancements contribute to improved healthcare outcomes, streamlined workflows, and more informed decision-making.

References

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