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NEW QUESTION # 69
Bloomington Caregivers is launching a patient portal with contact tracing functionality as part of its Health Cloud implementation.
Users require the ability to leverage advanced sharing and customizable dashboards.
Which license should a consultant recommend for the external patient users?
- A. External Apps for Health Cloud
- B. Customer Community Plus for Health Cloud
- C. Experience Cloud for Health Cloud
- D. Customer Community for Health Cloud
Answer: C
NEW QUESTION # 70
A payer needs to work with plan members and medical providers to influence decisions through a case-by- case review of the appropriateness of care.
When gathering requirements for this use case, which two Utilization Management processes should a consultant discuss with the client?
Choose 2 answers
- A. Considering the number of Intake agents who will be using Health Cloud
- B. Designing Next Best Action and Recommendations for the care management team
- C. Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions
- D. Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review
Answer: C,D
Explanation:
Utilization Management is a critical component in healthcare that focuses on ensuring the appropriateness, necessity, and efficiency of healthcare services. For payers working with plan members and medical providers, the case-by-case review of care appropriateness requires thorough processes to streamline authorization and review tasks.
* Designing Care Requests to Seek Authorization (Answer B):
* Purpose: The Care Request object in Health Cloud is essential for seeking authorizations from a health plan for specific healthcare services, drugs, or admissions. This object ensures that requests are appropriately documented and tracked.
* Functionality:
* It allows users to create and manage care requests linked to plan members.
* Integrates with payer systems to capture critical details for authorization, such as service codes, plan information, and medical necessity documentation.
* Supports automation through workflows and approvals, speeding up the decision-making process.
* Relevance: By designing efficient Care Requests, the consultant ensures that all required details for preauthorizations or service reviews are captured seamlessly, meeting regulatory and operational needs.
* Considering Request Review Types (Answer C):
* Purpose: UM processes in Health Cloud must address the three primary types of reviews:
* Prior Authorization Review: Conducted before the service is provided to determine medical necessity.
* Concurrent Review: Evaluates the necessity of ongoing care during hospitalization or service delivery.
* Retrospective Review: Analyzes the appropriateness of care after it has been delivered.
* Implementation in Health Cloud:
* The consultant must design workflows and data models to capture the details of these review types, including timestamps, reviewer notes, and outcomes.
* Health Cloud supports tracking and documenting these reviews within the UM module, ensuring compliance with healthcare regulations.
* Relevance: These review types allow the payer to influence decisions by ensuring appropriate care is provided while managing costs and maintaining high-quality outcomes.
Why the Other Options Are Less Relevant:
* A. Designing Next Best Action and Recommendations for the Care Management Team: While recommendations and next-best-action features are beneficial for care management, they are not directly tied to the case-by-case review process of Utilization Management, which focuses more on care appropriateness and authorizations.
* D. Considering the Number of Intake Agents Using Health Cloud: While operational considerations like staffing are important, this is not a Utilization Management process. It's a broader organizational concern unrelated to the core functionality of UM in Health Cloud.
References:
Utilization Management Overview: Salesforce documentation outlines how to handle prior authorizations, service approvals, and related processes within Health Cloud. (help.salesforce.com) Care Requests and Authorizations: Details on managing care requests and integrating with payer systems for streamlined authorization workflows. (developer.salesforce.com) UM Process Design in Health Cloud: Guidance on implementing request review types and managing data models to support UM. (architect.salesforce.com) By addressing Care Requests and Request Review Types, the consultant ensures a robust Utilization Management setup, enabling effective collaboration between payers, providers, and members while optimizing care delivery and compliance.
NEW QUESTION # 71
A call center agent at Bloomington Caregivers wants the ability to look up providers by appointment on behalf of their patients.
Which two capabilities should a consultant recommend to enable this requirement?
- A. Intelligent Appointment Management
- B. Experience Cloud for Health Cloud
- C. Provider Search
- D. Integrated Care Management
Answer: A,C
Explanation:
To enable call center agents at Bloomington Caregivers to look up providers by appointment on behalf of their patients, a consultant should recommend the following capabilities in Health Cloud:
Provider Search: This is a feature that allows call center agents to search for providers based on various criteria, such as location, specialty, availability, network status, ratings, languages spoken, etc. Provider Search helps call center agents find the best match for their patients' needs4.
Intelligent Appointment Management: This is a feature that allows call center agents to schedule appointments with providers based on their availability and preferences. Intelligent Appointment Management helps call center agents optimize appointment booking by considering factors such as travel time, urgency level, patient history, provider capacity, etc5. Experience Cloud for Health Cloud or Integrated Care Management are not capabilities that can fulfill this requirement.
NEW QUESTION # 72
A provider is looking to implement Utilization Management in Health Cloud and submit and track pror authorizations. Which two capabilities should a consultant customize to achieve this?
Choose 2 answers
- A. Customize the Service Request object.
- B. Create a new Support Process to match the customer's process steps.
- C. Integrate using MuleSoft Direct for electronic Prior Authorizations (ePA).
- D. Create a new UtilizationManagementSettings record in Custom Settings.
Answer: A,C
Explanation:
Implementing Utilization Management in Salesforce Health Cloud to handle prior authorizations involves customizing specific components to streamline the submission and tracking processes.
1. Integrate Using MuleSoft Direct for Electronic Prior Authorizations (ePA):
MuleSoft Direct for Health Cloud facilitates seamless integration between Electronic Health Record (EHR) systems and Health Cloud. This integration enables providers to electronically submit and track prior authorization requests, eliminating manual processes and reducing decision times. By leveraging electronic prior authorization (ePA), healthcare organizations can automate workflows, ensure timely approvals, and enhance patient care delivery.
Salesforce
2. Customize the Service Request Object:
The Service Request object in Health Cloud serves as a central repository for managing various patient- related requests, including prior authorizations. Customizing this object allows organizations to align the authorization process with their specific business requirements. Enhancements may include adding custom fields to capture necessary clinical information, modifying page layouts for improved user experience, and implementing validation rules to ensure data accuracy. Such customizations facilitate efficient tracking and management of authorization requests, ensuring that all relevant information is readily accessible to care teams.
References:
Get Started with Health Cloud Utilization Management
Manage Authorization Requests in a Provider's Office
NEW QUESTION # 73
A bug is assigned to a developer stating that when an address contains data in the Address Line 2 field, the FlexCard display adds additional line, causing formatting issues.
How should the developer handle this in a DataRaptor without changing the underlying data structures?
- A. Replace the Extract DataRaptor with a Transform DataRaptor to convert the data as needed.
- B. Create a new Turbo Extract DataRaptor to trim the Address data in both fields.
- C. Add a Load DataRaptor to write the data into one new custom field.
- D. Modify the Extract DataRaptor to concatenate the address fields by using a formula.
Answer: D
Explanation:
The developer should modify the Extract DataRaptor to concatenate the address fields by using a formula to handle this bug. An Extract DataRaptor is a component in OmniStudio that allows the developer to query data from Salesforce objects and display it on a FlexCard. The developer can use a formula to concatenate the address fields into one field and avoid adding an extra line when Address Line 2 contains data.
NEW QUESTION # 74
Which twopreference must a salesforce administrator enable to begin using Intelligent Sales for Medical Devices? (Choose two)
- A. Lightning App builder
- B. Action Plans
- C. Visit Inventory Management
- D. Intelligent Sales
- E. Lightning Flows
Answer: C,D
Explanation:
Explanation
Reference and details below.
NEW QUESTION # 75
Which resource within health cloud facilitates the easy exchange of data between Health Cloud and the client Electronic Medical Records
- A. Health cloud has prebuilt connections for the top ten EMR's
- B. Health cloud has a lightning component button automatically configured to 'Export to EMR'
- C. Health cloud has published data mappings from commonly used HL7 message to the Health Cloud data model
- D. Health Cloud has a built in HL7 integration Engine
Answer: C
NEW QUESTION # 76
A provider is looking to implement Utilization Management in Health Cloud and submit and track prior authorizations.
Which two capabilities should a consultant customize to achieve this?
Choose 2 answers
- A. Customize the Service Request object.
- B. Create a new Support Process to match the customer's process steps.
- C. Integrate using MuleSoft Direct for electronic Prior Authorizations (ePA).
- D. Create a new UtilizationManagementSettings record in Custom Settings.
Answer: A,C
Explanation:
Health Cloud supportsUtilization Management (UM)through the Service Request object, which tracks prior authorization requests, and through integration with electronic prior authorization systems using MuleSoft.
* Customize the Service Request object:
* Extract:
"The Service Request object is at the core of the Utilization Management process in Health Cloud. You can customize fields, page layouts, and automation to match your business processes for prior authorization." (Source: Administer Health Cloud - Utilization Management)
* Integrate using MuleSoft Direct for ePA:
* Extract:
"Integrate Health Cloud Utilization Management with external systems using MuleSoft Direct, enabling electronic submission and tracking of prior authorizations." (Source: Administer Health Cloud - Utilization Management Integration)
* Why not B or D?
* There isno standard custom setting called UtilizationManagementSettingsfor this process.
* Support Processis more for standard Salesforce Cases and not directly linked to Utilization Management flows in Health Cloud.
NEW QUESTION # 77
An agent at a MedTech company requires a Ul component that displays customer data and contains a link to create a new order. Once clicked, the link starts a process to build a new order and displays the available products for purchase. Which three OmniStudio capabilities are required to solve this use case?
- A. Document Generation
- B. Integration Procedures
- C. DataRaptors
- D. FlexCards
- E. OmniScript
Answer: A,D,E
Explanation:
To solve the use case of creating a new order and displaying available products for purchase, a developer should leverage the following OmniStudio capabilities:
OmniScript: This is a capability that allows developers to create guided flows that capture user inputs and execute business logic. OmniScript can be used to create a process that builds a new order based on customer data and product selection9.
FlexCards: This is a capability that allows developers to create reusable UI components that display data from various sources. FlexCards can be used to create a component that shows customer data and contains a link to start the OmniScript flow10.
Document Generation: This is a capability that allows developers to create documents based on templates and data from various sources. Document Generation can be used to create an order confirmation document that shows the details of the order and products purchased11. DataRaptors or Integration Procedures are not required capabilities for this use case.
NEW QUESTION # 78
A MedTech customer is looking to track surgical case visits for reps to sell their products, leveraging Intelligent Sales.
Which object should a consultant configure to track this visit type?
- A. Location
- B. Visit
- C. Action Plan
- D. Work Type
Answer: D
NEW QUESTION # 79
An agent at a MedTech company requires a UI component that displays customer data and contains a link to create a new order. Once clicked, the link starts a process to build a new order and displays the available products for purchase.
Which three OmniStudio capabilities are required to solve this use case?
Choose 3 answers
- A. Flexcards
- B. Integration Procedures
- C. Document Generation
- D. OmniScript
- E. DataRaptors
Answer: A,D,E
Explanation:
The use case describes:
A UI component to display customer data → FlexCards
A link to start a process (build a new order) → OmniScript
Retrieving and displaying available products → DataRaptors (and often Integration Procedures if orchestration is needed).
Let's map it step by step:
D . FlexCards → Used to display contextual customer data on the UI and provide clickable actions (like "Create New Order").
E . OmniScript → Guides the user through the order creation process, step by step (product selection, details, confirmation).
A . DataRaptors → Extract and load Salesforce data (e.g., retrieving available products, saving the order).
* These three are the core capabilities needed.
Why not the others?
B . Integration Procedures - Helpful if the solution requires multiple data sources or orchestration, but the question doesn't explicitly state external integration or complex orchestration. If data is all within Salesforce, DataRaptors are enough.
C . Document Generation - Used to create documents (PDFs, Word, etc.), which isn't part of this order creation flow.
Salesforce Health Cloud / OmniStudio Reference:
* Salesforce OmniStudio Developer Guide
"FlexCards present contextual information and actions in a UI component."
"Use OmniScripts to guide users through business processes such as creating orders."
"DataRaptors retrieve, transform, and save Salesforce data for use in OmniScripts and FlexCards."
NEW QUESTION # 80
A pharma customer requires a scheduling tool to book infusions with multiple steps as part of its Health Cloud implementation. It needs a solution for care coordinators to book appointments without having to manually check availability and resources themselves.
Which solution should a consultant recommend?
- A. Procedure Scheduling
- B. Intelligent Appointment Management
- C. Salesforce Scheduler
- D. Advanced Therapy Management
Answer: D
NEW QUESTION # 81
A customer that already has Service Cloud is onboarding a new business unit, which needs to use Health Cloud.
Which three organization-wide default settings should an administrator change to ensure the original business unit that leverages Service Cloud does not have visibility into protected health information (PHI)?
Choose 3 answers
- A. Set related clinical objects to Controlled by Parent or Private.
- B. Set Contact to Controlled by Parent.
- C. Set Health Details to Controlled by Parent or Private.
- D. Set Person Accounts to Private.
- E. Set Account and Contract to Private.
Answer: A,C,D
Explanation:
When onboarding a new business unit to Health Cloud while protecting sensitive data for the existing Service Cloud users, adjusting Organization-Wide Defaults (OWD) is critical.
* Health Details to Controlled by Parent or Private:
* Ensures that only users with appropriate access to parent records (e.g., Person Accounts or Cases) can view sensitive health-related information.
* Person Accounts to Private:
* Restricts visibility of patient data at the account level, limiting access to users within the appropriate Health Cloud business unit.
* Related Clinical Objects to Controlled by Parent or Private:
* Applies restricted access to clinical objects like care plans, conditions, and encounters to ensure that PHI is not accessible to Service Cloud users.
* B. Account and Contract to Private: Relevant for managing non-healthcare data but not directly tied to PHI protection.
* D. Contact to Controlled by Parent: While this helps manage access to contact data, it does not address broader clinical objects or PHI.
References:
Salesforce Health Cloud Security Best Practices
NEW QUESTION # 82
A consultant is implementing clinical assessment to track intake for a hospital leveraging the Discovery Framework.
Which three functions is the consultant able to leverage with Health Cloud?
Choose 3 answers
- A. Image Analysis
- B. Scoring
- C. Branching
- D. Encrypted Text
- E. Question Bank
Answer: B,C,E
Explanation:
The Discovery Framework in Health Cloud supports:
Question Bank: Central repository of reusable questions for assessments.
Branching: Dynamic branching logic based on patient responses.
Scoring: Automatic scoring for assessments/intakes.
Extract:
"The Discovery Framework supports Question Bank, branching logic, and scoring for dynamic, reusable clinical assessments." (Source: Administer Health Cloud - Discovery Framework) Encrypted Text and Image Analysis are not functions of the Discovery Framework.
NEW QUESTION # 83
How should a consultant recommend modeling a physician's locations of service, when the physician practices at multiple hospitals and clinics?
- A. Account Contact Relationship
- B. Healthcare Taxonomy
- C. Healthcare Practitioner Facility
- D. Healthcare Provider Relationship
Answer: C
Explanation:
The Healthcare Practitioner Facility object in Salesforce Health Cloud allows modeling of a physician's locations of service. It captures relationships between healthcare practitioners and the facilities (hospitals, clinics, etc.) where they practice.
Key Features of Healthcare Practitioner Facility:
* Multiple Locations: Tracks all locations where a physician practices.
* Relationships: Links practitioners to facilities, ensuring accurate mapping of service areas.
* Operational Benefits: Facilitates scheduling, referrals, and care coordination by providing accurate location data.
Why Other Options Are Incorrect:
* Healthcare Taxonomy: Used to classify healthcare providers based on specialties and services, not locations.
* Healthcare Provider Relationship: Tracks relationships between healthcare organizations or facilities, not individual physician locations.
* Account Contact Relationship: Provides a general relationship mapping but lacks the specificity required for modeling service locations.
References:
Health Cloud Data Model for Practitioners and Facilities
NEW QUESTION # 84
Which three of the following statements are true about Care Plan Templates? (Choose ThreE.
- A. Care plan templates must include at least 1 problem, 1 goal and 1 task.
- B. When creating a care plan with a template you can unselect tasks so they will not be included.
- C. The sort order of the Task group by Fields can be changed under custom setting task group.
- D. Care plan templates can only be used when creating a new care plan.
- E. When creating a care plan with a template you can change the offsets of the tasks.
Answer: A,B,D
NEW QUESTION # 85
Bloomington Caregivers uses Health Cloud and has an Integration setup with an external payer system.
Which three business level APIs should a consultant recommend to help the payer organization electronically receive requests for care services?
Choose 3 answers
- A. Benefit Verification
- B. Referral Request
- C. Admission, Discharge, and Transfer (ADT)
- D. Prior Authorization
- E. Care Services
Answer: B,D,E
Explanation:
Bloomington Caregivers, utilizing Salesforce Health Cloud, seeks to integrate with an external payer system to facilitate electronic requests for care services. To achieve this, the following business-level APIs are recommended:
1. Prior Authorization API
The Prior Authorization API enables healthcare providers to submit electronic requests for approval of specific medical services or treatments before they are provided. This process ensures that the proposed care is medically necessary and covered under the patient's insurance plan, thereby reducing delays and administrative burdens associated with manual authorization processes. Implementing this API streamlines communication between providers and payers, enhancing efficiency and patient care.
2. Referral Request API
The Referral Request API allows healthcare providers to electronically submit referrals for patients to receive specialist services or additional medical evaluations. This API ensures that referrals are processed promptly, facilitating timely access to necessary care for patients. By automating the referral process, it reduces paperwork and potential errors, improving coordination between primary care providers, specialists, and payers.
3. Care Services API
The Care Services API supports the management and coordination of various healthcare services provided to patients. It enables the electronic submission and tracking of service requests, such as home health care, medical equipment provision, or therapy sessions. This API ensures that all parties, including providers and payers, have up-to-date information on the services being rendered, promoting seamless care coordination and efficient resource utilization.
Reference:
For detailed information on Health Cloud Business APIs, including those for Prior Authorization, Referral Requests, and Care Services, refer to the Salesforce Health Cloud Developer Guide:
Salesforce Developers
To understand how these APIs integrate with external systems and the benefits they offer in streamlining healthcare operations, consult the Salesforce Healthcare API documentation:
Salesforce Developers
Implementing these APIs will enable Bloomington Caregivers to efficiently manage electronic requests for care services, ensuring timely approvals and coordinated care delivery.
NEW QUESTION # 86
Which three options are standard objects available for Insurance Management? (choose 3)
- A. MemberPlan
- B. Coverage Benefit
- C. Insurance Benefit
- D. PurchaserPlan
- E. Insurance Coverage
Answer: A,C,E
Explanation:
According to the Health Cloud Data Model Developer Guide, Insurance Benefit, MemberPlan, and Insurance Coverage are three standard objects available for Insurance Management. Insurance Benefit represents a specific benefit or service covered by an insurance plan. MemberPlan represents an insurance plan that a member is enrolled in. Insurance Coverage represents an insurance policy that covers one or more members. PurchaserPlan and Coverage Benefit are not standard objects available for Insurance Management.
NEW QUESTION # 87
A UX designer wants to change the formatting of an OmniStudio FlexCard field element to have a font of Times New Roman with a red color.
What are two ways the designer should make the changes?
Choose 2 answers
- A. Make edits to Field Style.
- B. Make edits to Field Properties.
- C. write custom CSS,
- D. Made edits to Setup Panel.
Answer: B,D
NEW QUESTION # 88
A payer needs to connect an electronichealth record (EHR) to Health Cloud to display key clinical data to Health Cloud users. The data in the source system is aligned to PHIR R4 standards, but some transformation is anticipated.
Which approach should a consultant use to set up this integration?
- A. A scheduled batch job that retrieves a file from an SFTP
- B. A ''swivel-chair'' standard operating procedure document that will be distributed to users.
- C. A middleware integration solution that can handle data transformation if necessary.
- D. A points-to-point API connection from the HER to Health Cloud.
Answer: C
Explanation:
FHIR-Based Interoperability with Transformation:
* Exact Extract:
"Middleware solutions enable integration with EHRs using HL7 or FHIR standards and can perform necessary data transformation for compatibility with Health Cloud." Reference:Administer Health Cloud - Interoperability Other Options:
Batch jobs/SFTP and point-to-point APIs are not scalable or flexible for ongoing data transformation.
"Swivel-chair" procedures are not a technical integration.
NEW QUESTION # 89
Service cloud organization is migratingto health cloud, and only certain teams of users have health cloud use cases .Which users are......
- A. Care request providers
- B. Users with health cloud use cases or users who need access to health cloud objects require health cloud permission set licences.
What three types ofancillary information can be included in a single care request. - C. A, C, D
- D. Care request facility
- E. Care request reviews
- F. Care request diagnosis
- G. Care request drug
Answer: B,C
NEW QUESTION # 90
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Salesforce Health Cloud Accredited Professional exam is designed for individuals who work in the healthcare industry and have experience using Salesforce Health Cloud to manage patient data and improve patient outcomes. Salesforce Health Cloud Accredited Professional certification validates a professional's skills and knowledge in implementing, configuring, and customizing the Salesforce Health Cloud platform.
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