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Becoming a Salesforce Health-Cloud-Accredited-Professional is an excellent way to demonstrate your expertise and commitment to the healthcare industry. It showcases your proficiency in using Salesforce Health Cloud, which is becoming increasingly important as the healthcare industry continues to shift towards a more patient-centric approach. By achieving this certification, you will be better equipped to support healthcare providers in delivering high-quality care, improving patient outcomes, and enhancing the patient experience.
By becoming a Salesforce Health Cloud Accredited Professional, individuals can demonstrate their expertise in using the Salesforce Health Cloud platform and their knowledge of the healthcare industry. Salesforce Health Cloud Accredited Professional certification can also help professionals to enhance their career opportunities, improve their earning potential, and gain recognition in the healthcare industry.
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Salesforce Health Cloud is a cloud-based application designed for healthcare providers and payers to streamline their patient engagement, care management, and population health initiatives. The Salesforce Health-Cloud-Accredited-Professional Exam is a certification offered by Salesforce to validate professionals’ knowledge and skills in implementing, configuring, and managing Salesforce Health Cloud solutions.
Salesforce Health Cloud Accredited Professional Sample Questions (Q41-Q46):
NEW QUESTION # 41
A payer needs to work with plan members and medical providers to influence decisions through a case-by-case review of 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
- A. Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions
- B. Designing Next Best Action and Recommendations for the care management team
- C. Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review
- D. Considering the number of Intake agents who will be using Health Cloud
Answer: A,C
Explanation:
Utilization Management is a critical component in healthcare that focuses on ensuring the appropriateness, necessity, and efficiency of healthcare services. For payers working with plan members and medical providers, the case-by-case review of care appropriateness requires thorough processes to streamline authorization and review tasks.
Designing Care Requests to Seek Authorization (Answer B):
Purpose: The Care Request object in Health Cloud is essential for seeking authorizations from a health plan for specific healthcare services, drugs, or admissions. This object ensures that requests are appropriately documented and tracked.
Functionality:
It allows users to create and manage care requests linked to plan members.
Integrates with payer systems to capture critical details for authorization, such as service codes, plan information, and medical necessity documentation.
Supports automation through workflows and approvals, speeding up the decision-making process.
Relevance: By designing efficient Care Requests, the consultant ensures that all required details for preauthorizations or service reviews are captured seamlessly, meeting regulatory and operational needs.
Considering Request Review Types (Answer C):
Purpose: UM processes in Health Cloud must address the three primary types of reviews:
Prior Authorization Review: Conducted before the service is provided to determine medical necessity.
Concurrent Review: Evaluates the necessity of ongoing care during hospitalization or service delivery.
Retrospective Review: Analyzes the appropriateness of care after it has been delivered.
Implementation in Health Cloud:
The consultant must design workflows and data models to capture the details of these review types, including timestamps, reviewer notes, and outcomes.
Health Cloud supports tracking and documenting these reviews within the UM module, ensuring compliance with healthcare regulations.
Relevance: These review types allow the payer to influence decisions by ensuring appropriate care is provided while managing costs and maintaining high-quality outcomes.
Why the Other Options Are Less Relevant:
A . Designing Next Best Action and Recommendations for the Care Management Team: While recommendations and next-best-action features are beneficial for care management, they are not directly tied to the case-by-case review process of Utilization Management, which focuses more on care appropriateness and authorizations.
D . Considering the Number of Intake Agents Using Health Cloud: While operational considerations like staffing are important, this is not a Utilization Management process. It's a broader organizational concern unrelated to the core functionality of UM in Health Cloud.
Reference:
Utilization Management Overview: Salesforce documentation outlines how to handle prior authorizations, service approvals, and related processes within Health Cloud. (help.salesforce.com) Care Requests and Authorizations: Details on managing care requests and integrating with payer systems for streamlined authorization workflows. (developer.salesforce.com) UM Process Design in Health Cloud: Guidance on implementing request review types and managing data models to support UM. (architect.salesforce.com) By addressing Care Requests and Request Review Types, the consultant ensures a robust Utilization Management setup, enabling effective collaboration between payers, providers, and members while optimizing care delivery and compliance.
NEW QUESTION # 42
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?
- A. Allergy Intolerance
- B. Medication Management
- C. Medication Interactions
- D. RxNorm DDI Connectivity
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.
Reference:
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 # 43
Which three business process are supported by Salesforce HC utilization Management? (Choose 3)
- A. Drug Request
- B. Ticketing
- C. Physician Request
- D. Appeals
- E. Admissions
Answer: A,D,E
Explanation:
Explanation
Reference and details below.
NEW QUESTION # 44
Prior to go-live for Bloomington Caregivers, a consultant loads the future system users into Salesforce.
Which two permission set licenses should the consultant assign to the users to give them access to Health Cloud?
- A. Health Cloud Platform permission set license
- B. Health Cloud permission set license
- C. Health Cloud Standard permission set license
- D. Health Cloud Foundation permission set license
Answer: B,C
Explanation:
The users need both the Health Cloud permission set license and the Health Cloud Standard permission set license to access Health Cloud features. The Health Cloud Foundation permission set license is for users who only need access to the Health Cloud data model, and the Health Cloud Platform permission set license is for users who need access to the Health Cloud Lightning components3.
NEW QUESTION # 45
A consultant Is preparing to Install Health Cloud in a production org for the first time.
Which three tasks should the consultant ensure are completed prior to installing Health Cloud?
Choose 3 answers
- A. Enable Chatter.
- B. Enable Health Cloud Installation Monitor.
- C. Enable Contacts to Multiple Accounts.
- D. Enable Person Accounts.
- E. Enable Shield Event Monitoring.
Answer: A,C,D
Explanation:
Before installing Health Cloud in a production org, it's essential to complete specific prerequisite tasks to ensure a smooth installation and optimal functionality.
1. Enable Contacts to Multiple Accounts (Answer A):
Purpose: This feature, also known as Shared Contacts, allows a single contact to be associated with multiple accounts. In Health Cloud, this capability is crucial for modeling relationships where a patient (contact) may be linked to multiple healthcare providers or organizations (accounts).
Implementation Steps:
Navigate to Setup in Salesforce.
Enter Account Settings in the Quick Find box and select it.
Check the option Allow users to relate a contact to multiple accounts.
Save the settings.
Reference:
Salesforce
2. Enable Chatter (Answer B):
Purpose: Chatter is Salesforce's collaboration tool that enables users to work together, share information, and keep up with project updates. In Health Cloud, Chatter facilitates communication among care teams, enhancing collaboration and patient care coordination.
Implementation Steps:
Navigate to Setup in Salesforce.
Enter Chatter Settings in the Quick Find box and select it.
Click Edit, then select Enable Chatter.
Save the settings.
Salesforce Developers
3. Enable Person Accounts (Answer E):
Purpose: Person Accounts allow Salesforce to handle individual consumers by combining account and contact fields into a single record. In Health Cloud, Person Accounts are used to represent patients or members as individual entities, which is essential for managing patient relationships effectively.
Implementation Steps:
Log a case with Salesforce Support to enable Person Accounts, as this feature requires backend activation.
Once enabled, configure the necessary page layouts and record types to accommodate Person Accounts.
Confianza Salesforce Partner
Conclusion:
Completing these tasks-enabling Contacts to Multiple Accounts, Chatter, and Person Accounts-ensures that your Salesforce org is properly configured to support Health Cloud's functionalities, leading to a successful installation and implementation.
NEW QUESTION # 46
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