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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Discovery | 11% | - Define required capabilities and use cases - Gather functional and technical requirements - Identify customer personas and stakeholders |
| Topic 2: Implement | 42% | - Set up care programs, patient management and workflows - Configure applications and OmniStudio components - Installation and configuration of Health Cloud - Customize features for specific use cases |
| Topic 3: Deploy | 5% | - Post-deployment monitoring and optimization - Manage mobile and user experience - Pre-deployment validation and preparation |
| Topic 4: Design | 42% | - Define success metrics and reporting - Healthcare data modeling - Integration and data migration strategy - Solution design using best practices - Security, compliance and data access design |
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NEW QUESTION # 104
A payer needs to manage requests for concurrent review of prior authorizations within Health Cloud and wants to use out-of-the-box record types and page layouts, However, the payer's Salesforce administrator does not see any preconfigured record types or page layouts for prior authorizations in the payer's Salesforce org.
What should a consultant recommend to the Salesforce administrator to expedite implementation?
Answer: D
Explanation:
In Salesforce Health Cloud, to manage prior authorization requests using preconfigured record types and page layouts, the Health Cloud Care Request Extensions package must be installed. This package provides the necessary configurations for handling prior authorizations.
Steps to Install the Health Cloud Care Request Extensions Package:
* Access the Package:
* Obtain the installation link for the Health Cloud Care Request Extensions package from Salesforce's official resources or through the Salesforce AppExchange.
* Install the Package:
* Click on the installation link and log in to your Salesforce org.
* Follow the installation prompts, selecting the appropriate security settings (e.g., granting access to all users).
* Complete the installation process.
* Verify Installation:
* Navigate to Setup > Installed Packages to confirm that the Health Cloud Care Request Extensions package is listed.
* Configure Record Types and Page Layouts:
* After installation, the package provides preconfigured record types and page layouts for prior authorizations.
* Assign these record types and layouts to the relevant user profiles to ensure accessibility.
Benefits of Installing the Health Cloud Care Request Extensions Package:
* Preconfigured Components: The package includes out-of-the-box record types and page layouts tailored for managing prior authorizations, reducing the need for custom development.
* Streamlined Processes: Facilitates efficient handling of prior authorization requests, improving operational workflows for payers.
* Integration with Health Cloud: Ensures seamless integration with existing Health Cloud functionalities, maintaining data consistency and integrity.
By installing this package, the Salesforce administrator can expedite the implementation of prior authorization management within Health Cloud, leveraging Salesforce's pre-built solutions to meet the organization's needs effectively.
References:
Install Health Cloud Packages
Utilization Management in Health Cloud
NEW QUESTION # 105
Bloomington Caregivers needs to easily view all of the complex associations between patients, personal relationships, healthcare practitioners, other people, and organizations in healthcare, Which Health Cloud feature should a consultant leverage to meet this requirement?
Answer: A
Explanation:
Step-by-Step Explanation:
* Feature Overview:TheActionable Relationship Center (ARC)in Salesforce Health Cloud is specifically designed to give healthcare organizations a graphical and interactive way to visualize, manage, and act on complex relationships among people (patients, caregivers, practitioners) and organizations.
* Source:Administer Health Cloud - Actionable Relationship Center
* Complex Associations:ARC supports multiple relationship types, including personal, clinical, and organizational connections, enabling users to easily view and manage these associations in a single, unified interface.
* Exact Extract:
"With Actionable Relationship Center, care coordinators and other users can view, create, and manage the relationships between patients, their care teams, household members, and service providers. The ARC visualization tool shows complex relationships between people and organizations." Reference:Administer Health Cloud - ARC User Experience:The visual nature of ARC allows users to not only see but also take actions on relationships (for example, add new relationships or navigate directly to related records) without leaving the ARC view.
This functionality is not provided by the Patient Card, Care Team, or Enhanced Timeline, which focus on other aspects of patient information or care.
Differentiation from Other Features:
Patient Card: Displays a summarized view of patient details and care info.
Care Team: Manages members involved in a patient's care but does not visualize all associations.
Enhanced Timeline: Focuses on displaying chronological care events.
Conclusion:Forvisualizing and acting on all types of relationships-personal, practitioner, organizational, and more-the Actionable Relationship Center is the recommended and officially documented Health Cloud feature.
NEW QUESTION # 106
A customer is looking to implement Discovery Framework to manage their intake and clinical assessments.
Which three capabilities should a consultant configure with Health Cloud out-of-the-box to enhance their assessment functionality?
Choose 3 answers
Answer: A,B,D
Explanation:
Step 1: Understanding the Discovery Framework in Health Cloud
The Discovery Framework in Salesforce Health Cloud is designed to streamline intake and clinical assessments by providing reusable, modular, and compliant tools for healthcare organizations. It enables organizations to collect, store, and reuse responses to assessment questions efficiently and securely.
Reference:"Discovery Framework provides a way to design, distribute, and reuse forms and assessments for clinical and non-clinical scenarios. It leverages reusable question banks, digital data capture, and integration with Health Cloud objects."Administer Health Cloud - Assessments and Discovery Framework Step 2: FHIR Question BankCapability: The use of a FHIR-based Question Bank allows healthcare organizations to standardize questions and reuse them across multiple assessments. This ensures consistency and regulatory compliance in data collection.
Extract:"The Question Bank leverages the FHIR Questionnaire resource, making it easy to define, store, and reuse question sets for various clinical assessments."Administer Health Cloud - Discovery Framework:
Question Bank
Step 3: Digital Signature CaptureCapability: Digital Signature Capture is supported natively in Health Cloud assessments, ensuring consent, authenticity, and regulatory compliance.
Extract:"Out-of-the-box support for digital signature capture in assessment forms allows for secure, auditable consent capture, which is often required for clinical or legal compliance."Administer Health Cloud - Discovery Framework Features Step 4: Using Previously Submitted ResponsesCapability: The ability to use previously submitted responses enhances user experience and speeds up the intake process by pre-populating assessments with earlier responses where relevant.
Extract:"You can configure assessments to pre-fill questions with responses from prior assessments, supporting both efficiency and patient engagement."Administer Health Cloud - Reuse of Data in Assessments Step 5: Options Not Natively Supported Out-of-the-Box A). Adding a QR Code: Not natively supported in Health Cloud Discovery Framework out-of-the-box for assessments. This would require custom development or external integrations.
B). SMS Assessment Completion: Not supported out-of-the-box; may require integration with Marketing Cloud or external SMS services and customization.
Reference for non-supported features:"Features such as QR code generation or SMS completion notifications are not available out of the box and would require customizations or integrations."Administer Health Cloud
NEW QUESTION # 107
In which three ways does Health Cloud meet compliance and regulatory requirements? (Choose three.)
Answer: A,D,E
Explanation:
Health Cloud meets compliance and regulatory requirements in the following ways2:
Health Cloud helps healthcare organizations achieve HIPAA compliance. HIPAA is a US law that protects the privacy and security of patient health information. Health Cloud offers various features and tools to help customers comply with HIPAA, such as encryption, audit trails, data masking, and consent management. Customers who want to use Health Cloud for HIPAA purposes can sign a Business Associate Addendum (BAA) with Salesforce.
Health Cloud is HL7 compliant. HL7 is a set of standards for exchanging health information electronically. Health Cloud supports HL7 FHIR (Fast Healthcare Interoperability Resources), which is a modern specification for representing and sharing health data. Health Cloud allows customers to integrate with external systems that use FHIR APIs and access FHIR resources within Salesforce.
Health Cloud is HITRUST certified. HITRUST is a framework that provides a comprehensive and flexible approach to security and privacy in the healthcare industry. HITRUST certification demonstrates that an organization meets the highest standards of data protection and compliance. Health Cloud has achieved HITRUST CSF certification for its core services and features.
Health Cloud is not HIPAA certified or GDPR certified. HIPAA certification does not exist as a formal process or accreditation. HIPAA compliance is a shared responsibility between Salesforce and its customers, and each party must implement appropriate safeguards and policies to protect patient data3. GDPR is a European law that regulates the processing of personal data of individuals in the EU. GDPR compliance depends on various factors, such as the type and purpose of data processing, the location of data subjects and processors, and the rights and obligations of data controllers4. Salesforce provides various tools and resources to help customers comply with GDPR, but it does not certify Health Cloud as GDPR compliant.
NEW QUESTION # 108
A pharma company is implementing Health Cloud and trying to track insurance details related to its patients. The company wants to track:
* A list of all payer organizations
* The plans offered by a given payer
* The standard benefits available under a plan
* Which plan a given patient is enrolled in and their specific insurance details Which set of objects should a consultant implement to meet these requirements?
Answer: A
Explanation:
Salesforce Health Cloud provides a robust data model for tracking insurance details and plans, aligning with healthcare industry standards. The specified objects-Payer, Plan Offering, Coverage Benefit, and Member Plan-allow the company to model insurance-related data effectively.
Key Objects:
Payer: Represents the payer organizations (insurance providers) offering health plans.
Plan Offering: Defines the various insurance plans offered by a payer organization.
Coverage Benefit: Details the benefits available under a specific plan, such as covered services and limitations.
Member Plan: Tracks individual patient enrollment details in a specific insurance plan, including policy numbers, start/end dates, and other specific data.
This combination of objects ensures all requirements are met:
Tracking payer organizations via the Payer object.
Managing plans offered by each payer through Plan Offering.
Defining standard benefits under a plan via Coverage Benefit.
Linking a patient to their specific plan and details through Member Plan.
Why Other Options Are Incorrect:
Option A, B, D: These combinations include objects like Purchaser or Plan Benefit, which are not standard objects for insurance tracking in Health Cloud. The provided data model specifically supports the objects in Option C.
Reference:
Health Cloud Insurance Data Model
Health Cloud Documentation
NEW QUESTION # 109
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