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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Discovery | 20% | - Define capabilities from use cases - Gather functional and technical requirements - Identify customer personas and stakeholders |
| Topic 2: Design | 25% | - Define integration and migration strategies - Model healthcare entities and data structures - Design solutions using best practices - Plan security, compliance, and reporting |
| Topic 3: Deploy | 25% | - Plan pre-deployment and post-deployment activities - Operate and maintain Health Cloud solutions - Manage mobile capabilities |
| Topic 4: Implement | 30% | - Set up security and access controls - Implement integrations and APIs - Build reports and dashboards - Install and configure Health Cloud - Configure OmniStudio components - Customize features and objects |
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NEW QUESTION # 112
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?
Answer: A,B
Explanation:
Utilization Management requirements center on designing Care Request records for authorizations and establishing review workflows across the three standard review types: Prior Authorization, Concurrent Review, and Retrospective Review. Utilization Management structures care requests, authorization review, medical-necessity determination, concurrent review, and related payer-provider approval workflows. From a discovery perspective, the consultant should validate the current-state workflow with the people who perform it, document pain points and handoffs, and translate the findings into functional, data, security, and integration requirements before solution design begins. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions; Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Discovery - Utilization Management
NEW QUESTION # 113
A provider wants to get a comprehensive view of a patient ' s prescriptions, including history, to improve health outcomes. Which Health Cloud capability should a consultant leverage to assist the provider?
Answer: A
Explanation:
Medication Management provides clinicians with a consolidated 360-degree view of a patient ' s medication regimen, prescription history, dosage, and reconciliation tools. Medication Management consolidates medication requests, statements, dispensing information, reconciliation, review, and interaction-oriented workflows so clinicians can evaluate a patient ' s regimen longitudinally. From a solution-design perspective, the selection fits the requirement because it uses the Health Cloud capability or data model that directly represents the business need, rather than introducing a parallel custom structure or a feature intended for a different stage of the patient, member, provider, or payer lifecycle. The remaining options do not directly satisfy the stated requirement; they either address a different functional domain, provide only part of the required behavior, or introduce unnecessary customization compared with the selected Health Cloud approach. This approach also keeps the solution aligned with the standard Agentforce Health data and process model, which is important for maintainability, reporting, interoperability, and consistent user access. In practical terms, the consultant should configure and validate the selected elements (Medication Management) against the scenario ' s acceptance criteria and confirm that the intended users can access the underlying records and functionality.
Study Guide references/topics:Design - Medication
NEW QUESTION # 114
A provider has moved an existing office to a new location and wants to ensure that whenever a patient books an appointment on the existing portal, the patient receives an email with the new address.
How should a developer modify the existing Create Appointment Integration Procedure to solve the request?
Answer: A
Explanation:
To ensure that the new office address is sent to patients via email after booking, you need logic in the Integration Procedure that checks the office location and triggers the correct email template.
Conditional Blocks in Integration Procedures allow developers to execute actions (like sending a specific email) only when certain conditions are met-such as the new office location.
Extract:
"Use a Conditional Block in an Integration Procedure to execute logic based on data values or conditions. For example, send a specific notification when a record matches certain criteria." (Source: Omnistudio Standard Guide - Integration Procedures) Why not A, B, or C?
Removing Try-Catch, building If-Elself logic, or only updating test conditions do not leverage the maintainable and declarative power of Conditional Blocks in Integration Procedures.
NEW QUESTION # 115
Bloomington Caregivers has been using the legacy Health Cloud electronic health record (EHR) data model and wants to move to the FHIR R4 clinical data model.
Which two steps should a consultant take to complete this?
Answer: A,B
NEW QUESTION # 116
While implementing contracting as part of Provider Network Management, a customer wants to manage different types of payments.
Which object should a consultant configure to achieve this?
Answer: D
NEW QUESTION # 117
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