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| Section | Weight | Objectives |
|---|---|---|
| Health Cloud Analytics and Reporting | 15% | - Implement clinical analytics - Configure Health Cloud reports and dashboards - Utilize Health Cloud for operational insights |
| Clinical Data Model and Interoperability | 20% | - Configure clinical objects and relationships - Understand the clinical data model - Explain interoperability and FHIR integration |
| Provider Relationship Management | 15% | - Configure provider network management - Implement provider search and matching - Manage referral management |
| Patient Engagement and Clinical Operations | 30% | - Configure patient management workflows - Configure patient timelines and milestones - Implement care plans and care teams - Manage clinical encounters and assessments |
| Health Cloud Basics and Administration | 20% | - Explain the capabilities of Health Cloud - Manage Health Cloud permissions and sharing - Configure Health Cloud settings and custom metadata |
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NEW QUESTION # 68
Bloomington Caregivers uses Health Cloud and has an Integration setup with an external payer system.
Which three business level APIs should a consultant recommend to help the payer organization electronically receive requests for care services?
Choose 3 answers
Answer: B,C,D
Explanation:
Bloomington Caregivers, utilizing Salesforce Health Cloud, seeks to integrate with an external payer system to facilitate electronic requests for care services. To achieve this, the following business-level APIs are recommended:
1. Prior Authorization API
The Prior Authorization API enables healthcare providers to submit electronic requests for approval of specific medical services or treatments before they are provided. This process ensures that the proposed care is medically necessary and covered under the patient's insurance plan, thereby reducing delays and administrative burdens associated with manual authorization processes. Implementing this API streamlines communication between providers and payers, enhancing efficiency and patient care.
2. Referral Request API
The Referral Request API allows healthcare providers to electronically submit referrals for patients to receive specialist services or additional medical evaluations. This API ensures that referrals are processed promptly, facilitating timely access to necessary care for patients. By automating the referral process, it reduces paperwork and potential errors, improving coordination between primary care providers, specialists, and payers.
3. Care Services API
The Care Services API supports the management and coordination of various healthcare services provided to patients. It enables the electronic submission and tracking of service requests, such as home health care, medical equipment provision, or therapy sessions. This API ensures that all parties, including providers and payers, have up-to-date information on the services being rendered, promoting seamless care coordination and efficient resource utilization.
References:
For detailed information on Health Cloud Business APIs, including those for Prior Authorization, Referral Requests, and Care Services, refer to the Salesforce Health Cloud Developer Guide:
Salesforce Developers
To understand how these APIs integrate with external systems and the benefits they offer in streamlining healthcare operations, consult the Salesforce Healthcare API documentation:
Salesforce Developers
Implementing these APIs will enable Bloomington Caregivers to efficiently manage electronic requests for care services, ensuring timely approvals and coordinated care delivery.
NEW QUESTION # 69
While a consultant is implementing Integrated Care Management for a customer, the customer requests that a change is made to the Care Plan creation wizard.
Which underlying component should the consultant customize to achieve this?
Answer: A
Explanation:
In Salesforce Health Cloud's Integrated Care Management, the Care Plan creation wizard is built using OmniScript. To customize this wizard, consultants should modify the underlying OmniScript components.
Understanding OmniScript:
* Purpose: OmniScript is a declarative tool within Salesforce OmniStudio that enables the creation of guided, interactive workflows, commonly referred to as wizards. These scripts guide users through complex processes, ensuring data consistency and enhancing user experience.
* Key Features:
* Declarative Configuration: Allows for the creation and modification of scripts without the need for custom code.
* Reusable Components: Facilitates the use of pre-built elements to streamline the development process.
* Integration Capabilities: Supports integration with various data sources and systems, enabling comprehensive data handling.
Customizing the Care Plan Creation Wizard:
* Access the Relevant OmniScript:
* Identify the OmniScript associated with the Care Plan creation process. This script defines the steps and user interface elements presented during care plan creation.
* Modify the OmniScript:
* Add or Remove Steps: Adjust the sequence of steps to align with the desired workflow.
* Customize Input Fields: Alter field properties, such as labels, default values, and validation rules, to meet specific requirements.
* Incorporate Business Logic: Implement conditional logic to tailor the user experience based on input data or user roles.
* Test the Customized OmniScript:
* Conduct thorough testing to ensure that the modifications function as intended and provide a seamless user experience.
References:
Create an Enhanced Care Plan Using Care Plan Templates: For insights into how OmniScript is utilized in the care plan creation process, refer to Salesforce's documentation: Create an Enhanced Care Plan Using Care Plan Templates Create Care Plans from Care Gaps by Using an OmniScript Flow: To understand the application of OmniScript in creating care plans from care gaps, see: Create Care Plans from Care Gaps by Using an OmniScript Flow Conclusion:
Customizing the Care Plan creation wizard in Integrated Care Management involves modifying the associated OmniScript. By tailoring this script, consultants can enhance the care plan creation process to better meet the specific needs of their organization.
NEW QUESTION # 70
Which of the following Salesforce and Health Cloud objects can be used to represent Provider and their relationship in a Provider Management data model? (Choose Three.)
Answer: A,B,C
Explanation:
Reference and details below.
NEW QUESTION # 71
Prior to go-live for Bloomington Caregivers, a consultant loads the future system users into Salesforce.
Which two out-of-the-box permission sets should the consultant assign to the users to give them access to Health Cloud?
Choose 2 answers
Answer: A,E
NEW QUESTION # 72
Bloomington Caregivers is looking to streamline the user experience for its call center agents. On the patient's record, the company wants the ability to:
Inform agents about changes in information
View basic details about a patient's insurance
Have a complete view of all engagement interactions in one place
Which three components from Contact Center for Health Cloud should a consultant use to achieve this?
Answer: A,C,E
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference Record Alerts:
Notify agents of important or recent changes in patient information.
Extract:
"Use Record Alerts to keep agents informed of changes and critical updates on the patient's record."
- Contact Center for Health Cloud Overview
Timeline:
Provides a single, unified view of all engagement interactions, encounters, and activities with a patient.
Extract:
"Timeline shows a consolidated history of patient interactions and engagement, giving agents a complete view in one place."
- Health Cloud: Enhanced Timeline
Member Plan FlexCard:
Displays key patient insurance information directly on the record page.
Extract:
"The Member Plan FlexCard displays essential details about the patient's insurance coverage for agents."
- OmniStudio: FlexCards
Other Options:
A . Identity Verification: Used for verifying caller identity, not information display.
D . Action Launcher: Launches actions/processes, not for displaying info or alerts.
Reference:
Contact Center for Health Cloud Overview
Health Cloud: Enhanced Timeline
OmniStudio: FlexCards
NEW QUESTION # 73
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