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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 |
| Patient Engagement and Clinical Operations | 30% | - Implement care plans and care teams - Configure patient timelines and milestones - Manage clinical encounters and assessments - Configure patient management workflows |
| Health Cloud Analytics and Reporting | 15% | - Implement clinical analytics - Configure Health Cloud reports and dashboards - Utilize Health Cloud for operational insights |
| Provider Relationship Management | 15% | - Manage referral management - Implement provider search and matching - Configure provider network management |
| Health Cloud Basics and Administration | 20% | - Configure Health Cloud settings and custom metadata - Explain the capabilities of Health Cloud - Manage Health Cloud permissions and sharing |
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NEW QUESTION # 46
During a design session, the client asks for best practices around when to use DataRaptors vs. Integration Procedures.
For which scenario should a consultant advise the client to use a single DataRaptor?
Answer: D
Explanation:
DataRaptors are best for extracting, transforming, and loading Salesforce data, especially when handling data from related SObjects.
Single DataRaptor for related SObjects:
Extract:
"Use a DataRaptor Extract when you need to read Salesforce data, such as retrieving fields from multiple related SObjects in a single read." (Source: Omnistudio Standard Guide - DataRaptors) Why not B, C, or D?
SendMail tasks, complex multi-step logic, or external data connections are handled by Integration Procedures, not DataRaptors.
NEW QUESTION # 47
Which three standard objects are used in the workflow to manage utilization data? (Choose 3)
Answer: B,C,D
Explanation:
According to the Salesforce documentation2, the following standard objects are used in the workflow to manage utilization data:
Care Request Plan: A care request plan is an object that stores information about the plan of care for a member. It includes details such as the diagnosis, the service type, the start and end dates, and the status of the plan2.
Care Authorization: A care authorization is an object that stores information about the approval or denial of a service or payment by a payer. It includes details such as the authorization number, the decision date, the decision reason, and the status of the authorization2.
Care Request: A care request is an object that stores information about the request for a service or payment by a provider or a member. It includes details such as the request type, the request date, the priority, and the status of the request2.
NEW QUESTION # 48
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 authorizationrequests.
How should a consultant conduct discovery to define a workflow for these call center users?
Answer: D
Explanation:
Step 1: Requirement
Define workflow for call center users focused on prior authorization status checks.
Step 2: Best Practice for Workflow Discovery
* Discovery should be user-centered, involving direct engagement with actual users (personas).
* Observing and documenting their daily processes identifies real pain points and optimization opportunities.
Extract:
"Best practice for workflow discovery is to interview and observe key personas, document their processes, and map opportunities for automation and optimization." Salesforce Architect - Business Process Discovery
* Other options (industry research, previous projects, or proof of concept) do not provide the necessary user insight for workflow design.
NEW QUESTION # 49
Bloomington Caregivers is looking to view potential drug-to-drug interactions for its patients' medications and make recommendations based on that data within Health Cloud.
Which Health Cloud add-on should a consultant recommend to fulfill this requirement?
Answer: B
Explanation:
Bloomington Caregivers aims to identify potential drug-to-drug interactions for patients' medications and provide recommendations based on that data within Salesforce Health Cloud. To fulfill this requirement, the Medication Management add-on is the appropriate solution.
Overview of Medication Management:
Medication Management is an add-on feature in Salesforce Health Cloud designed to help healthcare providers and care coordinators manage patients' medication regimens effectively. It enhances patient safety by identifying potential medication-related issues, including drug-to-drug interactions, and supports the reconciliation of medication lists during care transitions.
Key Features:
* Medication Reconciliation:
* Facilitates the accurate compilation of a patient's medication list, ensuring that all prescribed and over-the-counter medications are accounted for.
* Drug Interaction Checks:
* Automatically checks for potential drug-to-drug interactions using integrated databases, alerting healthcare providers to possible adverse effects.
* Recommendations and Documentation:
* Enables providers to document recommendations and notes related to a patient's medication regimen, supporting informed clinical decisions.
Implementation Considerations:
* Licensing:
* Medication Management is an add-on product that requires additional licensing. Ensure that your organization has the necessary licenses to access this feature.
* Configuration:
* Set up the Patient Medication Manager Lightning component within Health Cloud to utilize Medication Management features. This component provides an integrated interface for managing patient medications.
* Integration with RxNorm:
* Medication Management supports integration with RxNorm, a standardized nomenclature for clinical drugs, to enhance the accuracy of medication information and interaction checks.
References:
Medication Reconciliation: This Salesforce Help article provides detailed information on setting up and using the Medication Management feature within Health Cloud.
Salesforce
Add Medications by Using the Add Patient Medication Flow: Guidance on adding medications for patients using the Patient Medication Manager component.
Salesforce
By implementing the Medication Management add-on, Bloomington Caregivers can effectively monitor and manage patients' medication regimens, identify potential drug-to-drug interactions, and provide informed recommendations, thereby enhancing patient safety and care quality.
NEW QUESTION # 50
A payer receives faxes for clinical review as part of the determination process. The payer needs Health Cloud to automatically capture the data from the documents received from patients and manage the end-to-end approval process.
Which two Health Cloud capabilities should a consultant recommend as a way to build this process?
Choose 2 answers
Answer: A,B
Explanation:
To automate the capture of data from faxes for clinical reviews and manage the approval process in Salesforce Health Cloud, the following capabilities are recommended:
1. Utilization Management (A):
Utilization Management in Health Cloud supports the payer's clinical review process by enabling workflows for reviewing medical necessity and care appropriateness.
It provides structured workflows for processing clinical documents, making it ideal for end-to-end determination and approval processes.
Features include care authorizations, review tracking, and decision management.
2. Intelligent Document Automation (C):
Intelligent Document Automation extracts data from documents (e.g., faxes, PDFs) and populates corresponding Salesforce records.
This capability reduces manual data entry, improves accuracy, and ensures data is automatically captured from the faxes received.
Paired with Salesforce workflows, it can trigger approvals or further reviews based on extracted data.
Why Other Options Are Incorrect:
B . Integrated Care Management: Focuses on patient care plans and coordination, not clinical review or payer processes.
D . Care Authorizations: Handles care approvals but does not support document data extraction or end-to-end review processes.
Reference:
Utilization Management in Health Cloud
Intelligent Document Automation Overview
NEW QUESTION # 51
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