part A Why might evidence-based clinical practice expressed as clinical guidelines not achieve an optimal outcome?. What are dangers of institutionalizing clinical guidelines and protocols given the traditional structure of organizations? If expert reasoning can be justified as a legitimate basis for clinical decision-making, how can evidence-based solutions be justified? Discuss the concept of community of practice as it relates to the structure of the clinical decision process. part b What has been the dominant organizational structure in healthcare? How has it affected how clinical services are delivered within organizations and/o across the healthcare system? How did payment by diagnosis-related group (DRG) alter the organizational accountability for clinical outcomes and the way cost information in hospitals gathered and analyzed? minimum 200 word count on each