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| Section | Weight | Objectives |
|---|---|---|
| Discovery | 11% | - Identify customer personas and stakeholders - Define required capabilities and use cases - Gather functional and technical requirements |
| Design | 42% | - Solution design using best practices - Security, compliance and data access design - Integration and data migration strategy - Define success metrics and reporting - Healthcare data modeling |
| Deploy | 5% | - Manage mobile and user experience - Post-deployment monitoring and optimization - Pre-deployment validation and preparation |
| Implement | 42% | - Installation and configuration of Health Cloud - Customize features for specific use cases - Set up care programs, patient management and workflows - Configure applications and OmniStudio components |
>> Salesforce Health-Cloud-Accredited-Professional Practice Questions <<
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NEW QUESTION # 115
A consultant is working with an insurance provider to set up prior authorizations in Health Cloud. The provider requires a display of preauthorization outcomes from its external system which manages the end-to- end prior authorization process.
Which solution is appropriate to meet this use case?
Answer: C
Explanation:
In Salesforce Health Cloud, when dealing with prior authorizations, the correct data model objects are:
* Service Preauth # Represents the overall prior authorization request (at the header level).
* Preauth Detail # Captures the individual service line items or outcomes associated with the prior authorization.
This structure allows Health Cloud to integrate with an external utilization management system that handles the full prior authorization process. The Service Preauth object acts as the container for the request, while Preauth Detail records capture outcomes, decisions, and details returned from the external system.
This is exactly suited to the requirement:
"The provider requires a display of preauthorization outcomes from its external system which manages the end-to-end prior authorization process." Why not the others?
* A. Plan Benefit and Plan Benefit Item - These are used to model insurance plan coverage and benefits, not authorization workflows.
* B. Care Preauth and Care Preauth Item - These are older, deprecated objects in favor of the Service Preauth data model.
* D. Care Request and Care Request Item - These are used to track referrals and service requests (e.g., a doctor requesting lab work), but not prior authorization outcomes.
Salesforce Health Cloud Reference:
# Salesforce Health Cloud Developer Guide - Utilization Management Data Model:
"The Service Preauth object represents the prior authorization request and its details. The Preauth Detail object contains service line items and outcomes for the prior authorization request."
* Salesforce Help: Utilization Management Data Model
* Salesforce Health Cloud Implementation Guide - Prior Authorizations
NEW QUESTION # 116
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:
To optimize workflows for a payer's call center, conducting a discovery phase requires identifying key pain points, inefficiencies, and opportunities.
Identify Personas and Walk Through a Day in Their Life:
Engage call center agents and supervisors who handle prior authorization requests and ask them to describe their daily processes, challenges, and tools used.
Take detailed notes to map out existing workflows and pinpoint inefficiencies. This approach provides insights into real-world challenges, helping to design tailored workflows that address bottlenecks.
Why Other Options Are Incorrect:
B . Build a proof of concept to present to the client and ask them for feedback:
Building a proof of concept comes later, after completing discovery and requirements gathering.
C . Research industry trends and develop a point of view, then present it to the customer for validation:
While understanding industry trends is useful, presenting pre-determined workflows without first understanding the customer's specific needs risks misalignment.
D . Use work from another project to inform the discovery, then review it with the IT department:
Reusing workflows from another project may not address the unique needs of this customer's call center processes.
Reference:
Salesforce Health Cloud Use Case Discovery Best Practices
Administer Health Cloud
NEW QUESTION # 117
Service cloud organization is migrating to health cloud, and only certain teams of users have health cloud use cases .Which Users with health cloud use cases or users who need access to health cloud objects require health cloud permission set licences.
What three types of ancillary information can be included in a single care request.
Answer: B,C,E
Explanation:
Care request reviews (B), Care request drug , and Care request diagnosis (D) are three types of ancillary information that can be included in a single care request. Care request providers (A) and Care request facility (E) are not types of ancillary information, but types of related records that can be associated with a care request.
NEW QUESTION # 118
How should a consultant recommend modeling a physician's locations of service, when the physician practices at clinics?
Answer: D
Explanation:
The Healthcare Practitioner Facility object is used to model a physician's locations of service, such as clinics or hospitals. It stores information about the facility name, address, phone number, and type.
NEW QUESTION # 119
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: A,D
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 # 120
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