Health-Cloud-Accredited-Professional Exam Dumps - Salesforce Health Cloud Accredited Professional Exam (WI25)

Bloomington Caregivers aims to bulk upload information to support Provider Search and the Provider Relationship Card in Salesforce Health Cloud. Implementing this requires populating various provider-related objects efficiently. Two best practice methods for achieving this are:

1. Using Composite API Requests (Answer C):

Purpose: The Composite API allows for the creation and linking of multiple related records in a single API call. This is particularly beneficial when dealing with complex data models involving multiple objects, as it ensures data integrity and reduces the number of API calls.

Implementation Steps:

Prepare Data Payload: Structure your data in a JSON format that includes all necessary records and their relationships.

Make Composite API Call: Use the Composite API to submit the data payload, which will process the creation of multiple records in a single transaction.

Verify Data Integrity: After the API call, confirm that all records have been created and linked correctly.

Advantages:

Efficiency: Reduces the number of API calls by bundling multiple operations into one request.

Atomic Transactions: Ensures that all operations succeed or fail together, maintaining data consistency.

To enable viewing medication data from Salesforce Health Cloud while leveraging FHIR standards, the Clinical Data Model is the correct data model to use.

Purpose and Design:

The Clinical Data Model in Health Cloud is specifically built to represent patient health data, including medications, allergies, conditions, and other clinical information.

It adheres to FHIR (Fast Healthcare Interoperability Resources) standards, which are widely used to facilitate the exchange of electronic health information between systems.

Medication Data Representation:

The Clinical Data Model contains FHIR-compliant objects, such as MedicationRequest and MedicationStatement, to store and retrieve information about prescribed medications, their dosages, and administration details.

FHIR Integration:

Health Cloud's Clinical Data Model supports RESTful FHIR APIs, allowing external systems to access medication data seamlessly.

FHIR compatibility ensures that medication data can be shared with third-party EHR systems and healthcare applications.

Configuration of Medication Records:

Populate the FHIR-compliant objects with medication data, ensuring adherence to the FHIR R4 resource structure.

Use of FHIR APIs:

Enable the Clinical Summary Healthcare API or specific Medication APIs (e.g., GET /MedicationRequest) to fetch and display medication details.

Integration Testing:

Validate the FHIR-based data exchange with other systems to ensure seamless interoperability.

Why the Clinical Data Model?Implementation Steps:References:

Salesforce Health Cloud Developer Guide: Clinical Data Model

FHIR Resources for Health Cloud

To change the formatting of a field element in an OmniStudio FlexCard to use the Times New Roman font and a red color, the following approaches are viable:

Custom CSS can be applied to define specific styling for field elements in a FlexCard.

CSS rules can specify the font family (Times New Roman) and color (red) precisely, providing complete control over design details.

Example:

1. Write Custom CSS (B):.my-custom-class {

font-family: "Times New Roman", serif;

color: red;

}

This CSS class can be referenced in the FlexCard configuration.

The Field Style section in the FlexCard Designer allows designers to set styling properties directly.

Font family and color are common options available in the Field Style configuration, making it straightforward to apply basic formatting changes without writing code.

2. Make Edits to Field Style (D):Why Other Options Are Incorrect:

A. Make edits to Field Properties: Field Properties control functional aspects of the field (e.g., field type or source) rather than styling.

C. Make edits to Setup Panel: The Setup Panel configures overall FlexCard settings but does not handle individual field styling.

References:

OmniStudio FlexCard Designer Documentation

Custom Styling in OmniStudio

The HCProvider360 FlexCard is the most suitable feature to implement when Bloomington Caregivers wants to display highlighted information about providers, such as their contact details and specialties, in one centralized location.

Comprehensive View:

The HCProvider360 FlexCard is designed to aggregate and display critical provider information, including:

Contact details (phone, email, etc.).

Provider specialty.

Facility-specific information.

Flexibility:

As a part of OmniStudio FlexCards, this feature can be customized to pull data from multiple objects and display it in a clean, user-friendly interface.

Efficiency for Users:

End users can quickly view provider information without navigating through multiple pages or objects, enhancing productivity and reducing complexity.

Navigate to OmniStudio and create or customize the HCProvider360 FlexCard.

Configure data sources to fetch provider details and facility relationships.

Add the FlexCard to the appropriate Lightning page using Experience Builder or App Builder.

Provider Network Management (Option A): Focused on managing the network of providers rather than presenting detailed information in a centralized view.

Provider Relationship Card (Option B): Shows relationships but lacks the customization and detail aggregation capabilities of the HCProvider360 FlexCard.

Facility Relationship Center (Option D): More suited for visualizing facility-related relationships rather than highlighting provider information.

Why HCProvider360 FlexCard?Implementation Steps:Other Options Reviewed:References:

OmniStudio FlexCards Overview

HCProvider360 FlexCard Documentation

Tracking socioeconomic and cultural barriers that could hinder a patient's progress requires Salesforce Health Cloud’s Social Determinants of Health (SDoH) capability.

Comprehensive Patient View:

Captures data on factors like income, education, housing, and transportation that influence health outcomes.

Risk Identification:

Identifies potential barriers and integrates them into care plans, enabling proactive intervention.

Care Coordination:

Helps care teams design support services and interventions tailored to individual patient needs.

B. Clinical Barriers: While useful, this focuses on clinical obstacles rather than broader socioeconomic factors.

C. Utilization Management: Centers on managing care authorizations, not patient barriers.

D. Care Blockers: Not a formal Health Cloud capability; overlaps conceptually with SDoH.

Key Features of Social Determinants of Health:Why Other Options Are Less Suitable:References:

Salesforce Social Determinants of Health Overview

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.

References:

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.

When onboarding a new business unit to Health Cloud while protecting sensitive data for the existing Service Cloud users, adjusting Organization-Wide Defaults (OWD) is critical.

Health Details to Controlled by Parent or Private:

Ensures that only users with appropriate access to parent records (e.g., Person Accounts or Cases) can view sensitive health-related information.

Person Accounts to Private:

Restricts visibility of patient data at the account level, limiting access to users within the appropriate Health Cloud business unit.

Related Clinical Objects to Controlled by Parent or Private:

Applies restricted access to clinical objects like care plans, conditions, and encounters to ensure that PHI is not accessible to Service Cloud users.

B. Account and Contract to Private: Relevant for managing non-healthcare data but not directly tied to PHI protection.

D. Contact to Controlled by Parent: While this helps manage access to contact data, it does not address broader clinical objects or PHI.

Recommended Settings:Why Other Options Are Less Suitable:References:

Salesforce Health Cloud Security Best Practices

To ensure that users can access the functionalities of the Provider Network Management add-on in Salesforce Health Cloud, administrators must assign the appropriate permission sets.

Required Permission Sets:

Provider Network Management Permission Set (Answer C):

Purpose: Grants users access to features specific to managing provider networks, including adding providers, managing contracts, and overseeing network adequacy.

Health Cloud Standard Permission Set (Answer D):

Purpose: Provides users with baseline access to Health Cloud features, ensuring they can interact with core health-related data and functionalities.

Implementation Steps:

Assign Permission Sets to Users:

Navigate to the user's detail page in Salesforce Setup.

In the Permission Set Assignments section, click Edit Assignments.

Select **Provider