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Running Header: Dallas Fort Worth Health and Hospital Systems1Dallas Fort Worth Health and Hospital SystemsnameHS420-Advanced Health InformaticsKaplan University
Health and Hospital Systems2Dallas Fort Worth Health and Hospital SystemsThe Dallas Fort Worth health and hospital system is made up of a1800 bed hospital and 30 community based clinics throughout the metroplex area. As the vice president, along with my interdisciplinary team; we were tasked with assessing the following systems, administrative, clinical decision support systems, electronic health record, computer based health record system, nursing, ancillary services systems, patient numbering systems in patient master index and enterprise patient master index. The findings are laid out below.AdministrativeThe structure for an accredited hospital is defined by the Joint Commission on Accreditation of Hospitals [ CITATION DiB75 \l 1033 ]. This is an all-encompassing committee, there is a governing board that represents the community, an executive committee responsible for patient care activities, the hospital unit administrative team consisting of a chief administrator, and numerous assistants. All policy updates, changes and recommendations are sent to the executive committee then to the governing board for approval. All major problems areresolved through a joint conference committee made up of representatives from each of the areas. Medical staff is divided into their designated departments to assume their responsibilities for patient care within their disciplines, to include determining and awarding credentials to applicant for hospital privileges[ CITATION DiB75 \l 1033 ]. Administrative services are present in both inpatient and outpatient medical treatment facilities. They have a stronger presence in hospitals where surgeries and major treatments are taking place. Clinical Decision Support Systems
Health and Hospital Systems3Clinical decision support (CDS) systems provide clinicians, staff, patients, and other individuals with knowledge and person-specific information, intelligently filtered and presented at appropriate times, to enhance health and health care[ CITATION Eta09 \l 1033 ]. The CDS system is a very diverse system that can be tailored to the needs of the clinicians throughout various stages in the care process. They can alert about potentially dangerous drug interactions, give reminders of preventive care, and provide information that is relevant to patients, based on their information inputted from an Electronic Medical Record (EMR), central repository. The knowledge available for the CDS is dependent on the clinical systems in place, vendor offerings, workflow, security, and fiscal constraints. Commonly CDS is used as an aid for addressing clinical needs, screening for preventable disease, ensuring accurate diagnoses, averting adverse drug interactions. It is also helpful for lowering cost by not duplicating test, and improving efficiency as well as improving patient satisfaction[ CITATION Eta09 \l 1033 ]. The clinical