Health-Cloud-Accredited-Professional Exam Dumps - Salesforce Health Cloud Questions and Answers

The Discovery Framework in Salesforce Health Cloud is designed to streamline intake and clinical assessment processes by leveraging configurable and reusable components. Below is a detailed explanation of the correct options:

Correct Capabilities:

FHIR Question Bank (C):

Health Cloud supports the integration of FHIR (Fast Healthcare Interoperability Resources) standards for clinical data management.

The FHIR Question Bank allows healthcare organizations to utilize predefined, standards-compliant question sets for assessments. This ensures uniformity and compliance with healthcare regulations.

Digital Signature Capture (D):

Salesforce Health Cloud enables capturing digital signatures to confirm the completion and accuracy of assessments, which is often required for compliance or legal documentation.

Using Previously Submitted Responses (E):

Health Cloud supports dynamic assessments that can reference and reuse responses from previously submitted assessments. This enhances efficiency, prevents redundancy, and reduces patient burden.

Why Other Options Are Incorrect:

A. Adding a QR Code:QR codes are not a standard out-of-the-box feature for assessments in Salesforce Health Cloud. While QR codes can be custom-implemented, they are not directly relevant to the Discovery Framework.

B. SMS Assessment Completion:SMS-based assessment completion is not an out-of-the-box feature of Health Cloud. It requires customization or integration with third-party messaging solutions to achieve this functionality.

References:

Administer Health Cloud

Salesforce Health Cloud Documentation on FHIR and Clinical Assessments

Salesforce Discovery Framework Overview

When the default appointment management solutions in Salesforce Health Cloud are not viable, leveraging a prebuilt package from an Independent Software Vendor (ISV) is the most robust and efficient solution. These packages are designed to integrate seamlessly with Health Cloud, offering advanced features that meet specific requirements like external appointment scheduling.

Why ISV Packages Are Recommended:

Purpose-Built: Designed for healthcare providers, these packages address appointment management complexities out of the box.

Seamless Integration: Built on Salesforce, these solutions are easily customizable and work with existing Health Cloud features.

Scalability: Offers long-term adaptability for growing healthcare organizations.

Why Other Options Are Incorrect:

Apex Class and Intelligent Appointment Management: Requires custom development, which can be costly and time-consuming.

EHR Routing System: External EHR systems often require complex integrations and may not align with Health Cloud workflows.

Custom FHIR Adapter: FHIR Adapters are typically used for clinical data exchange, not appointment management.

References:

ISV Solutions for Salesforce Health Cloud

Salesforce Health Cloud Appointment Management

The Virtual Care capability in Salesforce Health Cloud enables care providers to conduct video consultations with patients. This functionality is specifically designed to facilitate telemedicine appointments, including addressing social determinants of health (SDOH) that may impact patient care.

Key Features of Virtual Care:

Video Visits: Supports secure and HIPAA-compliant video calls between providers and patients.

Integration with Care Plans: Allows discussions of SDOH within the context of the patient’s care plan, promoting holistic care.

Scheduling and Notifications: Integrates with scheduling systems to set up and notify patients of video appointments.

Why Other Options Are Incorrect:

Intelligent Appointment Management: Focuses on optimizing in-person appointment scheduling rather than telehealth services.

Telehealth: While closely related, the specific Salesforce Health Cloud term for video consultations is "Virtual Care."

Integrated Care Management: Manages care plans and tasks but does not directly address video consultations.

References:

Virtual Care Overview

To modify the out-of-the-box Advanced Patient Card in Salesforce Health Cloud to display the Category, SubjectID, and Date for active Clinical Alerts, a developer should follow these steps:

Clone the Parent Card (Option A):

Begin by cloning the existing parent FlexCard that represents the Advanced Patient Card. This allows you to create a customized version without altering the original component.

Cloning ensures that the new card retains the base functionality while providing the flexibility to add or modify features as required.

Create a DataRaptor to Extract Necessary Data (Option C):

Utilize OmniStudio's DataRaptor to define a data extraction process that retrieves the specific fields—Category, SubjectID, and Date—from the Clinical Alerts object.

Configure the DataRaptor to filter and return only active clinical alerts, ensuring that the card displays relevant information.

This step is crucial for sourcing the data that will be presented on the customized patient card.

Change the Child Card State to Show Active (Option E):

After cloning the parent card, modify the state of the child card to ensure it displays active clinical alerts.

This involves setting the appropriate conditions within the card's configuration to filter and present only active alerts, aligning with the requirement to display current clinical information.

By executing these steps, the developer customizes the Advanced Patient Card to effectively display the desired fields for active Clinical Alerts, enhancing the utility of the patient card for healthcare providers.

References:

Advanced Patient Card - Salesforce Help

OmniStudio for Health Cloud

The Benefits Verification component in Salesforce Health Cloud is designed to help agents respond to member inquiries regarding benefits coverage. This feature integrates seamlessly with Health Cloud objects and data, offering agents real-time access to benefit information.

Key Features of Benefits Verification:

Real-Time Verification: Displays benefits data retrieved through integrations, allowing agents to answer member questions promptly.

Comprehensive Coverage Details: Includes plan benefits, covered services, and limits.

Customizable Layout: Can be configured on the record page to provide relevant benefit details in a user-friendly format.

Why Other Options Are Incorrect:

A. Eligibility Validation: Focuses on determining program eligibility rather than detailed benefits coverage.

B. Benefits Coverage: While related, it is not the specific tool designed for verifying benefits inquiries.

C. Coverage Confirmation: Typically used for confirming specific services under a plan, not general benefits questions.

References:

Benefits Verification in Health Cloud

To ensure data privacy and protection for leads, contacts, and person accounts during the initial setup of Health Cloud, the administrator should enable Data Protection and Privacy at the object level. This configuration allows Health Cloud to manage privacy-related fields and processes for these entities.

Key Features:

Object-Level Privacy Settings: Enables data protection measures such as tracking consent and managing privacy preferences.

Applicable Entities: Specifically supports leads, contacts, and person accounts, aligning with patient data management needs.

Compliance: Ensures compliance with regulations like HIPAA by embedding privacy measures into the core data model.

Why Other Options Are Incorrect:

A. Fields: Field-level protection alone does not enable comprehensive privacy management for leads, contacts, and person accounts.

C. Tasks: Task privacy is not relevant for this scenario.

D. Records: While data protection applies to records, configuration is done at the object level for consistency across entities.

References:

Data Protection and Privacy in Health Cloud

HIPAA Compliance with Health Cloud

Salesforce Health Cloud includes several features to ensure compliance with regulations like the Health Insurance Portability and Accountability Act (HIPAA). Among these, user authentication and access control is a key feature that safeguards protected health information (PHI) by controlling and restricting access based on user roles, permissions, and organizational policies.

Why User Authentication and Access Control is Key for HIPAA Compliance:

Role-Based Access Control (RBAC):

Salesforce allows administrators to define and manage access through role hierarchies and sharing rules. Only authorized users can view, edit, or process sensitive health data.

Shield Platform Encryption:

Salesforce Shield provides encryption capabilities for PHI. It ensures data remains secure at rest and during transit, an essential requirement of HIPAA.

Audit Trails and Field Tracking:

Salesforce Health Cloud tracks changes to sensitive data fields, offering detailed logs for auditing purposes.

Two-Factor Authentication (2FA):

2FA ensures only authenticated users access the system, adding an extra layer of security to sensitive health information.

Compliance Policies:

Salesforce’s built-in compliance tools, like health data masking and logging, align with HIPAA requirements.

Why Other Options Are Incorrect:

A. Data visualization and analytics:While important for decision-making, this feature does not directly address HIPAA compliance as it focuses on operational insights rather than security.

B. Social media integration:Social media features are unrelated to HIPAA compliance and could pose risks if improperly managed.

D. Real-time monitoring and alerts:While useful for operational efficiency, this feature is not specifically tied to compliance with HIPAA’s privacy and security rules.

References:

Salesforce Security Guide

Shield Platform Encryption Guide

Administer Health Cloud

Implementing Utilization Management in Salesforce Health Cloud to handle prior authorizations involves customizing specific components to streamline the submission and tracking processes.

1. Integrate Using MuleSoft Direct for Electronic Prior Authorizations (ePA):

MuleSoft Direct for Health Cloud facilitates seamless integration between Electronic Health Record (EHR) systems and Health Cloud. This integration enables providers to electronically submit and track prior authorization requests, eliminating manual processes and reducing decision times. By leveraging electronic prior authorization (ePA), healthcare organizations can automate workflows, ensure timely approvals, and enhance patient care delivery.

Salesforce

2. Customize the Service Request Object:

The Service Request object in Health Cloud serves as a central repository for managing various patient-related requests, including prior authorizations. Customizing this object allows organizations to align the authorization process with their specific business requirements. Enhancements may include adding custom fields to capture necessary clinical information, modifying page layouts for improved user experience, and implementing validation rules to ensure data accuracy. Such customizations facilitate efficient tracking and management of authorization requests, ensuring that all relevant information is readily accessible to care teams.

References:

Get Started with Health Cloud Utilization Management

Manage Authorization Requests in a Provider’s Office

For a payer implementing Health Cloud, leveraging predefined rules for prior authorization reviews can significantly improve efficiency and speed. Salesforce Health Cloud provides Expression Set Templates as an out-of-the-box feature to achieve this.

Predefined Rules:

Expression Set Templates come with prebuilt rule sets that can evaluate conditions, making them ideal for automating prior authorization request reviews.

Customizable Logic:

While they provide predefined logic, templates can also be customized to align with specific payer policies or regulatory requirements.

Faster Implementation:

Using out-of-the-box templates accelerates time-to-value, as they require minimal configuration compared to building rules from scratch.

A. Integration Procedures: Focuses on data integration and server-side processing but does not address predefined rules for authorization reviews.

C. FlexCards: Provides UI components for displaying information but does not support rule evaluation.

D. OmniScript Templates: Useful for guided workflows but not specifically for predefined rule management.

Key Features of Expression Set Templates:Why Other Options Are Less Suitable:References:

Expression Sets in Salesforce Health Cloud

The Advanced Patient Card in Salesforce Health Cloud provides an organized and navigable view of critical patient information, such as insurance, clinical data, and details of the primary care physician. This feature allows healthcare providers to access key data quickly within a patient’s profile.

Key Features of Advanced Patient Card:

Data Aggregation: Consolidates insurance, clinical, and provider information in a single, easy-to-navigate view.

Customizable Fields: Allows organizations to configure the card to display the most relevant information.

Improved User Experience: Designed to streamline the workflow of care providers by providing quick access to key data.

Why Other Options Are Incorrect:

Patient Path: Focuses on tracking patient milestones rather than critical information at a glance.

Enhanced Timeline: Provides a chronological view of patient interactions, not immediate profile data.

Enhanced Highlights Panel: Displays high-level patient data but lacks the depth and configurability of the Advanced Patient Card.

References:

Advanced Patient Card Overview