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| Section | Weight | Objectives |
|---|---|---|
| Provider Relationship Management | 15% | - Configure provider network management - Implement provider search and matching - Manage referral management |
| Clinical Data Model and Interoperability | 20% | - Understand the clinical data model - Explain interoperability and FHIR integration - Configure clinical objects and relationships |
| Health Cloud Analytics and Reporting | 15% | - Utilize Health Cloud for operational insights - Implement clinical analytics - Configure Health Cloud reports and dashboards |
| Health Cloud Basics and Administration | 20% | - Explain the capabilities of Health Cloud - Configure Health Cloud settings and custom metadata - Manage Health Cloud permissions and sharing |
| Patient Engagement and Clinical Operations | 30% | - Manage clinical encounters and assessments - Configure patient timelines and milestones - Configure patient management workflows - Implement care plans and care teams |
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NEW QUESTION # 27
Bloomington Caregivers has reviewed the functionality of Integrated Care Management and decided to upgrade from the legacy Care Plans.
Which two statements are true with respect to Integrated Care Management?
Choose 2 answers
Answer: B,D
Explanation:
Bloomington Caregivers is transitioning from legacy Care Plans to Integrated Care Management (ICM) in Salesforce Health Cloud to enhance care coordination and patient outcomes. Understanding the features and setup of ICM is crucial for a successful transition.
Enabling Integrated Care Management (Answer C):
Enhanced Care Management Setting:
Purpose: Activating the Enhanced Care Management setting in Salesforce Setup enables Integrated Care Management features within Health Cloud.
Implementation Steps:
Navigate to Setup: In Salesforce, go to Setup.
Search for Health Cloud Settings: Enter "Health Cloud" in the Quick Find box and select Health Cloud Settings.
Enable Enhanced Care Management: Locate the Enhanced Care Management option and toggle it to enable.
Reference:
Leveraging OmniStudio and Discovery Framework (Answer D):
OmniStudio Integration:
Purpose: ICM utilizes OmniStudio, a suite of declarative tools, to create guided workflows and automate complex business processes, enhancing the efficiency of care plan management.
Features:
OmniScripts: Guide users through complex processes with interactive scripts.
DataRaptors: Extract, transform, and load data to and from Salesforce objects seamlessly.
Discovery Framework Integration:
Purpose: The Discovery Framework facilitates the creation of assessments that gather patient information, which can be mapped to care plan recommendations, ensuring personalized and effective care strategies.
Implementation Steps:
Create Assessments: Develop assessments to collect relevant patient data.
Map Responses to Recommendations: Link assessment responses to specific care plan recommendations.
Set Up Decision Tables: Configure decision tables to process assessments and generate tailored care plans.
Additional Considerations:
Data Model Alignment:
ICM aligns with FHIR R4 and USCDI standards, enhancing interoperability with external healthcare systems.
Care Plan Elements:
ICM introduces enhanced care plan elements, including problems, goals, and interventions, structured to meet industry standards.
Conclusion:
By enabling the Enhanced Care Management setting and leveraging OmniStudio alongside the Discovery Framework, Bloomington Caregivers can transition to Integrated Care Management. This upgrade offers advanced tools for creating personalized, assessment-driven care plans, thereby improving patient care coordination and outcomes.
NEW QUESTION # 28
An administrator is configuring security for a patient list.
Which three considerations should the administrator take into account to ensure proper access to the list?
Answer: B,C,E
Explanation:
A is correct because administrators can restrict access to patient or member lists using standard Salesforce sharing settings on the list. The Patient List object has an organization-wide default sharing setting that determines the baseline access level for all users in the org. Administrators can also use sharing rules, manual sharing, or Apex managed sharing to grant additional access to specific users or groups.
B is correct because users with profile or permission sets that restrict access to an object cannot create a list using that object. Users need to have at least read access to the objects and fields that they want to use as filters or display columns in their lists. Administrators can check and modify the user's object and field permissions from their profile or permission set.
C is incorrect because administrators cannot restrict access using HCPatientListSecurity custom setting. This custom setting is used to control the visibility of patient or member lists in the Patient List tab, not the access to the lists. Administrators can use this custom setting to specify which lists are visible to which profiles or permission sets, or hide all lists from a profile or permission set.
D is correct because when a user's field-level security restricts access to a field used as a display column, the column does not appear in the list. This is because the field-level security settings override the list settings and prevent the user from viewing the field value. Administrators can check and modify the user's field-level security settings from their profile or permission set.
NEW QUESTION # 29
A payer is looking to optimize the workflow for its call center, which focuses primarily on members calling to check on the status of their prior authorization requests.
How should a consultant conduct discovery to define a workflow for these call center users?
Answer: D
Explanation:
Step 1: Requirement
Define workflow for call center users focused on prior authorization status checks.
Step 2: Best Practice for Workflow Discovery
Discovery should be user-centered, involving direct engagement with actual users (personas).
Observing and documenting their daily processes identifies real pain points and optimization opportunities.
Extract:
"Best practice for workflow discovery is to interview and observe key personas, document their processes, and map opportunities for automation and optimization." Salesforce Architect - Business Process Discovery Other options (industry research, previous projects, or proof of concept) do not provide the necessary user insight for workflow design.
NEW QUESTION # 30
Which two health cloud specific setting must be configuration .......... Health cloud org has lightning experience enabled person account......... (Choose two)
Answer: C,E
NEW QUESTION # 31
Which two actions should be completed by health cloud admin in order to leverage the health cloud utilization management capabilities?
Answer: B,C
Explanation:
According to the Salesforce documentation3, to leverage the health cloud utilization management capabilities, you need to install the health cloud managed package and the health cloud care request extensions managed package. The health cloud managed package contains the core objects, fields, tabs, apps, components, and more that are required for health cloud functionality. The health cloud care request extensions managed package contains additional objects, fields, tabs, apps, components, and more that are specific to utilization management3.
Reference and details below.
NEW QUESTION # 32
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