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| Section | Objectives |
|---|---|
| Topic 1: Security, Compliance, and Privacy | - HIPAA-related considerations in Salesforce Health Cloud - Data access controls, sharing models, and consent management |
| Topic 2: Health Cloud Fundamentals | - Healthcare industry concepts and use cases for Health Cloud - Core Health Cloud features and capabilities |
| Topic 3: Data Model and Patient / Member Management | - Person accounts, contacts, and care team structures - Patient / member data organization and relationships |
| Topic 4: Integration and Interoperability | - Use of APIs and healthcare data exchange standards (e.g., HL7/FHIR concepts) - Integration with EHR systems and external healthcare systems |
| Topic 5: Reporting and Analytics | - Healthcare reporting and dashboards - Tracking outcomes and operational insights |
| Topic 6: Care Coordination and Care Plans | - Care team collaboration and task management - Care plan creation and lifecycle management |
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NEW QUESTION # 49
How Should Members and Patients be represented during the............ Managers as per the Salesforce recommendation?
Answer: D
Explanation:
The individual Data Model may be used to represent members ......(B) is the recommended approach to represent members and patients during the implementation by Patient Managers as per the Salesforce recommendation. Leveraging Person Accounts is not the recommended approach to .........(A), as Person Accounts are used to represent providers, not members or patients. Salesforce does not recommend using Member Accounts to represent members ......, as Member Accounts are used to represent payer organizations, not members or patients. Leveraging Candidate Accounts are not the recommended approach to .........(D), as Candidate Accounts are used to represent potential members or patients, not existing ones.
NEW QUESTION # 50
A payer needs to work with plan members and medical providers to influence decisions through a case-by- case reviewof the appropriateness of care.
When gathering requirements for this use case, which two Utilization Management processes should a consultant discuss with the client?
Choose 2 answers
Answer: A,B
Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with References
* Request Review Types:
* Utilization Management processes center around reviewing requests for appropriateness of care, with the three main types beingPrior Authorization Review, Concurrent Review, and Retrospective Review.
* Extract:
"Utilization Management supports prior authorization, concurrent, and retrospective reviews to evaluate care appropriateness case by case."
-Utilization Management in Health Cloud
* Care Requests:
* Care Requests are the mechanism for providers to seek authorization from payers for drugs, services, or admissions.
* Extract:
"Design care request processes to support providers seeking health plan authorization for services, medications, or admissions."
-Health Cloud Utilization Management Data Model
* Why not the other options?
* A:Next Best Action is more for care management recommendations, not utilization review.
* C:Intake agent count is an operational consideration, not a UM process.
References:
Utilization Management Overview
Utilization Management Data Model
NEW QUESTION # 51
When implementing Provider Search functionality, which two changes allow an external user to access search results?
Choose 2 answers
Answer: A,C
Explanation:
To enable external users to access Provider Search functionality, you need to make necessary changes to the Experience Cloud site and permissions:
Steps to Enable Provider Search for External Users:
Add the Provider Search Component to the Site (Option A):
Use Experience Builder to include the Provider Search Lightning Web Component on a public-facing page of the Experience Cloud site.
Steps:
Navigate to Experience Builder.
Drag and drop the Provider Search component onto a designated page.
Publish the site to make the component available to external users.
Grant Read Access to the Care Provider Searchable Field Object (Option C):
External users must have appropriate permissions to view the provider search results.
Steps:
Go to Setup > Profiles.
Edit the site user profile associated with the Experience Cloud site.
Grant Read access to the Care Provider Searchable Field object.
Save and assign the profile to the relevant users.
Additional Notes:
Sharing Rules (Not Necessary): Sharing rules are not required if the external user profile already has sufficient object-level access.
Data Pipeline Object (Not Relevant): The Data Pipeline object is not directly involved in enabling Provider Search functionality for external users.
Reference:
Enable Provider Search in Health Cloud
Experience Cloud for Health Cloud
NEW QUESTION # 52
Which add-on license enhances Health Cloud to allow you to highlight times when a patient is most likely to attend an appointment ?
Answer: B
Explanation:
Einstein Analytics Predictions is an add-on license that enhances Health Cloud to allow you to highlight times when a patient is most likely to attend an appointment. It uses machine learning to analyze historical data and generate predictions based on various factors2. Einstein Vision, Einstein Bots, and Einstein Activity Capture are not related to this use case.
NEW QUESTION # 53
A healthcare provider with multiple clinics and specialties is struggling to manage its appointment scheduling process efficiently. Patients are experiencing long wait times on the phone and want to leverage self-service options.
Which three Health Cloud capabilities should a consultant recommend configuring to provide a solution to improve patient satisfaction?
Choose 3 answers
Answer: A,B,C
NEW QUESTION # 54
......
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