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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Patient Engagement and Clinical Operations | 30% | - Manage clinical encounters and assessments - Configure patient management workflows - Implement care plans and care teams - Configure patient timelines and milestones |
| Topic 2: Health Cloud Basics and Administration | 20% | - Manage Health Cloud permissions and sharing - Configure Health Cloud settings and custom metadata - Explain the capabilities of Health Cloud |
| Topic 3: Clinical Data Model and Interoperability | 20% | - Understand the clinical data model - Configure clinical objects and relationships - Explain interoperability and FHIR integration |
| Topic 4: Provider Relationship Management | 15% | - Manage referral management - Configure provider network management - Implement provider search and matching |
| Topic 5: Health Cloud Analytics and Reporting | 15% | - Configure Health Cloud reports and dashboards - Utilize Health Cloud for operational insights - Implement clinical analytics |
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NEW QUESTION # 96
Bloomington Caregivers has more than 1 million patients and each patient has an average of 10 claims a year, which are maintained in an external claims system. Management would like their agents to view all the claims of patients in Salesforce on demand when they open the patient's record.
What should a consultant recommend as the appropriate integration pattern to achieve this?
Answer: C
Explanation:
Using External Objects is the most efficient integration pattern for managing large volumes of data, such as claims. In this scenario, the claims data resides in an external system, and fetching 10 million records annually into Salesforce is neither scalable nor cost-effective. External Objects allow Salesforce users to access the data on demand without storing it in Salesforce.
Key Features of External Objects:
* Real-Time Access: Fetches claims data directly from the external system when a patient's record is accessed.
* Storage Efficiency: Avoids consuming Salesforce storage limits by not importing the data.
* Flexible Integration: External data sources such as OData can be configured to integrate with Salesforce.
Why Other Options Are Incorrect:
* A. Nightly Job: Importing all claims into Salesforce daily would require excessive storage and processing resources.
* B. ESB Load: Loading claims into Salesforce via an ESB introduces similar storage concerns as Option A.
* C. Callout on Demand: While possible, storing claims data in Salesforce after a callout defeats the purpose of on-demand integration.
References:
External Objects in Salesforce
Integrating External Data with Salesforce Connect
NEW QUESTION # 97
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
Answer: A,C,D
Explanation:
When onboarding Health Cloud into an org that already uses Service Cloud, it's critical to properly configure Organization-Wide Defaults (OWD) to ensure that protected health information (PHI) remains restricted.
The correct settings are:
A . Set Person Accounts to Private
Patients are modeled as Person Accounts in Health Cloud.
Setting Person Accounts to Private ensures PHI isn't exposed to users outside the Health Cloud business unit.
B . Set related clinical objects to Controlled by Parent or Private
Clinical objects (e.g., Care Plans, Assessments, Referrals) often relate to patients.
Making them Controlled by Parent (Person Account) or Private ensures only authorized users can see PHI.
E . Set Health Details to Controlled by Parent or Private
Health Details contain sensitive clinical data.
Must be restricted at the OWD level to prevent exposure to non-Health Cloud users.
Why not the others?
C . Set Account and Contract to Private
Regular business Accounts/Contracts are part of Service Cloud, not typically where PHI resides. Restricting them isn't required for PHI protection.
D . Set Contact to Controlled by Parent
Contacts in Health Cloud are often caregivers or providers, not patients (who are Person Accounts).
PHI protection centers around Person Accounts + Clinical Objects + Health Details, not Contacts.
Salesforce Health Cloud Reference:
* Salesforce Health Cloud Security and Sharing Guide:
"For HIPAA and other PHI compliance, set Person Accounts and Health Cloud clinical objects to Private or Controlled by Parent."
"Ensure Health Details are not exposed via default sharing."
NEW QUESTION # 98
A call center agent at Bloomington Caregivers wants the ability to look up providers by location and specialty, to schedule an appointment on behalf of their patients.
Which two capabilities should a consultant recommend to enable this requirement?
Choose 2 answers
Answer: B,C
Explanation:
Call center agents at Bloomington Caregivers require tools to streamline provider lookup and appointment scheduling for patients. Salesforce Health Cloud offers specific capabilities tailored to address these needs.
* Purpose:Provider Search enables users to locate healthcare providers based on specific criteria such as location, specialty, and availability. This functionality is essential for call center agents who need to identify and select suitable providers for patients.
* Features:
* Search by provider name, specialty, location, or other attributes.
* Filter and sort results to narrow down the provider list.
* Integration with the Salesforce Health Cloud data model to access real-time provider information.
* Implementation Steps:
* Configure Provider Records: Ensure all providers are set up correctly within Salesforce, including their specialties, locations, and other attributes.
* Enable Provider Search: Add the Provider Search component to the appropriate Lightning pages or record layouts.
Reference:
Provider Management Overview
Configuring Provider Search
2. Intelligent Appointment Management (Answer B):Purpose:Intelligent Appointment Management streamlines the scheduling process by integrating provider availability, patient preferences, and other factors.
It helps agents book appointments efficiently while minimizing scheduling conflicts.
Features:
Allows booking appointments based on provider availability.
Enables real-time synchronization with provider schedules.
Offers advanced scheduling logic to ensure compatibility with patient needs.
Implementation Steps:
Enable Salesforce Scheduler: Set up Salesforce Scheduler to integrate appointment booking with Health Cloud.
Configure Appointment Rules: Define scheduling policies, including time slots, duration, and patient-provider matching criteria.
Reference:
Salesforce Scheduler for Health Cloud
Why Other Options Are Less Relevant:C. Integrated Care Management:Integrated Care Management focuses on managing care plans, assessments, and interventions. It is not designed for provider lookup or appointment scheduling.
D: Experience Cloud for Health Cloud:Experience Cloud is used to create external portals for patient and provider access. While it can complement scheduling systems, it is not directly related to call center agent workflows.
Conclusion:By implementing Provider Search and Intelligent Appointment Management, Bloomington Caregivers can empower their call center agents to efficiently locate providers and schedule appointments, improving patient satisfaction and operational efficiency.
References for Further Reading:
Salesforce Health Cloud Provider Management
Salesforce Scheduler Setup
NEW QUESTION # 99
A HC admin is configuring a 'Convert to Patient' process,utilizing the Lead to Individual Conversion Apex class. Which statements are true about the steps the admin can take?(choose 3)
Answer: A,D,E
Explanation:
The admin must configure all Lead field mappings including Medical Record Number, Source System and Source System ID (A), some Lead field mappings including Medical Record Number, Source System ID can be handled automatically by HC , and duplicate checks on Medical Record Number, Source System and Source System ID can be handled automatically by HC (E) are true statements about the steps the admin can take. The custom Convert to Patient button should be added to the Lead detail page, not the list view (B). The Lead to Individual Conversion apex class will not create a new Opportunity for the patient (D).
NEW QUESTION # 100
A pharma company wants the ability to:
Upload a patient's insurance card, including automatic Member Plan record creation Run a benefits verification check Schedule on behalf of the patient with a provider Cloud Accredited Professional Which set of Health Cloud capabilities should enable the company to build this business process?
Answer: B
Explanation:
Step-by-Step Explanation:
* Business Process Capabilities:
* Intelligent Document Automation:Upload and process patient insurance cards.
* Intelligent Document Reader:OCR and extract information to automatically create Member Plan records.
* Benefits Verification:Check and verify patient insurance benefits.
* Intelligent Appointment Management:Schedule on behalf of the patient with providers.
* Salesforce Documentation Reference:
* "Use Intelligent Document Automation and Intelligent Document Reader to upload and extract insurance card details, with automated Member Plan creation. Use Benefits Verification and Intelligent Appointment Management to enable scheduling and eligibility checks."-Health Cloud: Intelligent Document Automation-Health Cloud: Benefits Verification-Health Cloud:
Intelligent Appointment Management
* Why not the other options?
* OnlyDincludes all needed automation for insurance card processing, Member Plan record creation, benefits verification, and scheduling.
References:
Intelligent Document Automation
Intelligent Document Reader
Benefits Verification
Intelligent Appointment Management
NEW QUESTION # 101
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