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| Section | Weight | Objectives |
|---|---|---|
| Clinical Data Model and Interoperability | 20% | - Configure clinical objects and relationships - Explain interoperability and FHIR integration - Understand the clinical data model |
| Health Cloud Analytics and Reporting | 15% | - Implement clinical analytics - Configure Health Cloud reports and dashboards - Utilize Health Cloud for operational insights |
| Patient Engagement and Clinical Operations | 30% | - Manage clinical encounters and assessments - Implement care plans and care teams - Configure patient timelines and milestones - Configure patient management workflows |
| 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 |
| Provider Relationship Management | 15% | - Configure provider network management - Implement provider search and matching - Manage referral management |
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NEW QUESTION # 62
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 by streamlining its approval processes for care requests.
Which capability in Health Cloud helps the payer accomplish this?
Answer: D
Explanation:
Step 1: Requirement Analysis
Payer needs to manage healthcare expenses while ensuring quality, affordable care.
Seeks to streamline approval processes for care requests.
Step 2: Utilization Management in Health Cloud
Utilization Management (UM) provides workflows and automation for reviewing, 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 # 63
Which permission set is needed to grant users read access to health insurance records and also create, read and update access to Utilization Management records?
Answer: A
Explanation:
Reference and details below.
NEW QUESTION # 64
While setting up Advanced Therapy Management, a consultant wants to have d to Care Programs during enrollment. They need to customize the Health Cloud enrollment process to match their customer's process.
What should the clone to customize for the customer, while leveraging out-of-the-box Health Cloud functionality?
Answer: A
Explanation:
To customize the Health Cloud enrollment process for Advanced Therapy Management, Flows are the recommended tool as they are declarative and leverage out-of-the-box functionality. Flows allow customization of the enrollment process without requiring custom code.
Key Features of Flows:
Declarative Customization: Enables the configuration of the enrollment process to match specific business workflows.
Integration with Care Programs: Automates enrollment steps, such as eligibility checks, consent capture, and assigning care programs.
Reusability: Configured flows can be reused or modified for other processes within the Health Cloud ecosystem.
Why Other Options Are Incorrect:
A . Apex Class: While possible, customization through code is less efficient and harder to maintain compared to Flows.
C . OmniScript: Ideal for dynamic user interactions but not required for standard enrollment customization.
D . FlexCard: Used for displaying information, not for managing enrollment processes.
Reference:
Health Cloud Flows for Enrollment
NEW QUESTION # 65
A payer is looking for a solution to recruit, credential, and onboard providers into its network. Which Health Cloud add-on should help the payer address these requirements?
Answer: B
Explanation:
C is correct because Provider Relationship Management is a Health Cloud add-on that helps payers to recruit, credential, and onboard providers into their network. Provider Relationship Management provides features and tools that allow payers to manage provider contracts, track provider performance, monitor provider satisfaction, and streamline provider communication.
NEW QUESTION # 66
A provider system wants to leverage Health Cloud to enable its care providers to conduct video visits with their patients to discuss socioeconomic factors that impact their care.
Which capability should a consultant recommend for this use case?
Answer: D
Explanation:
The Virtual Care capability in Salesforce Health Cloud enables care providers to conduct video consultations with patients. This functionality is specifically designed to facilitate telemedicine appointments, including addressing social determinants of health (SDOH) that may impact patient care.
Key Features of Virtual Care:
* Video Visits: Supports secure and HIPAA-compliant video calls between providers and patients.
* Integration with Care Plans: Allows discussions of SDOH within the context of the patient's care plan, promoting holistic care.
* Scheduling and Notifications: Integrates with scheduling systems to set up and notify patients of video appointments.
Why Other Options Are Incorrect:
* Intelligent Appointment Management: Focuses on optimizing in-person appointment scheduling rather than telehealth services.
* Telehealth: While closely related, the specific Salesforce Health Cloud term for video consultations is
"Virtual Care."
* Integrated Care Management: Manages care plans and tasks but does not directly address video consultations.
References:
Virtual Care Overview
NEW QUESTION # 67
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