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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Provider Relationship Management | 15% | - Implement provider search and matching - Configure provider network management - Manage referral management |
| Topic 2: Health Cloud Analytics and Reporting | 15% | - Configure Health Cloud reports and dashboards - Utilize Health Cloud for operational insights - Implement clinical analytics |
| Topic 3: 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 |
| Topic 4: Patient Engagement and Clinical Operations | 30% | - Configure patient management workflows - Manage clinical encounters and assessments - Configure patient timelines and milestones - Implement care plans and care teams |
| Topic 5: Clinical Data Model and Interoperability | 20% | - Understand the clinical data model - Explain interoperability and FHIR integration - Configure clinical objects and relationships |
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NEW QUESTION # 99
A payer needs to implement a program to address the rising healthcare expenses and ensure affordable care for its members. The payer airs to strike a balance between quality care and managing the cost of care effectively bystreamlining its approval processes for care requests.
Which capability in Health Cloud helps the payer accomplish this?
Answer: A
Explanation:
Step 1: Requirement Analysis
* Payer needs tomanage healthcare expenseswhile ensuring quality, affordable care.
* Seeks tostreamline approval processesfor care requests.
Step 2: Utilization Management in Health Cloud
Utilization Management (UM) provides workflows and automation forreviewing, approving, or denying care requests. This supports balancing cost controls with quality care through evidence-based review processes.
Extract:
"Utilization Management helps payers manage costs and ensure members receive appropriate care by streamlining the review and approval process for pre-authorizations and care requests." Administer Health Cloud - Utilization Management Step 3: Review of Options
* A. Utilization Management:Directly addresses care request review, cost, and quality balance.
* B. Provider Network Management:Focuses on managing provider networks, not utilization/cost review.
* C. Intelligent Appointment Management:For scheduling only.
* D. Integrated Care Management:Focuses on care coordination, not cost/approval workflow.
NEW QUESTION # 100
How can Code Sets be managed in Health Cloud?
Answer: D
Explanation:
Reference and details below.
NEW QUESTION # 101
Bloomington Caregivers has configured the Provider Network Management add-on license. Some of the users are reporting that they are unable to access some of the new functionality.
Which two permission sets should an administrator ensure are assigned so the users can access Provider Network Management?
Answer: B,C
Explanation:
The two permission sets that an administrator should ensure are assigned so the users can access Provider Network Management are Health Cloud Standard permission set and Provider Network Management permission set. Health Cloud Standard permission set grants users access to Health Cloud features, such as Care Team, Care Plan, Timeline, etc. Provider Network Management permission set grants users access to Provider Network Management features, such as Provider Search, Provider Relationship Card, etc.
NEW QUESTION # 102
Which two fields are optional when creating a new Care plan task? (Choose Two)
Answer: C,E
Explanation:
Goal and Problem (D) are optional fields when creating a new Care plan task. Status (A) and Task Owner (E) are required fields when creating a new Care plan task. Due Date (B) is not a field on Care plan task, but rather on Task object.
NEW QUESTION # 103
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 patients.
Which two capabilities should a consultant recommend to enable this requirement?
Answer: A,B
Explanation:
The correct capabilities are Provider Search and Intelligent Appointment Management. Provider Search is specifically designed to help users find healthcare providers using search criteria such as location, specialty, subspecialty, plan type, facility name, and patient travel distance. Salesforce Trailhead also identifies call center agents and care coordinators as typical users of Provider Search, which directly matches the scenario.
Intelligent Appointment Management is the scheduling capability that lets appointment schedulers and call center representatives view provider availability and schedule appointments for patients. It centralizes appointment scheduling and can use Salesforce Scheduler, EHR scheduling engines, or both. Experience Cloud is mainly for external self-service portals, while Integrated Care Management is for care plan and care coordination workflows, not provider lookup and appointment scheduling.
NEW QUESTION # 104
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