Salesforce Health Cloud Accredited Professional Exam Practice Test

Answer : A

In Salesforce Health Cloud, to manage prior authorization requests using preconfigured record types and page layouts, the Health Cloud Care Request Extensions package must be installed. This package provides the necessary configurations for handling prior authorizations.

Steps to Install the Health Cloud Care Request Extensions Package:

Access the Package:

Obtain the installation link for the Health Cloud Care Request Extensions package from Salesforce's official resources or through the Salesforce AppExchange.

Install the Package:

Click on the installation link and log in to your Salesforce org.

Follow the installation prompts, selecting the appropriate security settings (e.g., granting access to all users).

Complete the installation process.

Verify Installation:

Navigate to Setup > Installed Packages to confirm that the Health Cloud Care Request Extensions package is listed.

Configure Record Types and Page Layouts:

After installation, the package provides preconfigured record types and page layouts for prior authorizations.

Assign these record types and layouts to the relevant user profiles to ensure accessibility.

Benefits of Installing the Health Cloud Care Request Extensions Package:

Preconfigured Components: The package includes out-of-the-box record types and page layouts tailored for managing prior authorizations, reducing the need for custom development.

Streamlined Processes: Facilitates efficient handling of prior authorization requests, improving operational workflows for payers.

Integration with Health Cloud: Ensures seamless integration with existing Health Cloud functionalities, maintaining data consistency and integrity.

By installing this package, the Salesforce administrator can expedite the implementation of prior authorization management within Health Cloud, leveraging Salesforce's pre-built solutions to meet the organization's needs effectively.

Install Health Cloud Packages

Utilization Management in Health Cloud

Answer : C, D

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.

2. Using Data Loader (Answer D):

Purpose: Data Loader is a client application provided by Salesforce that facilitates bulk data import and export. It's suitable for handling large volumes of data and supports the insertion, update, deletion, and export of Salesforce records.

Implementation Steps:

Prepare CSV Files: Organize your provider data into CSV files, ensuring that all required fields are populated and relationships are properly mapped.

Configure Data Loader: Install and set up Data Loader on your system, configuring it to connect to your Salesforce instance.

Import Data: Use Data Loader to insert or update records in Salesforce, following the correct sequence to maintain data relationships.

Verify Import Results: After the import, review success and error logs to ensure all records were processed correctly.

Advantages:

User-Friendly Interface: Provides a graphical interface for mapping fields and managing data operations.

Support for Large Data Volumes: Capable of handling up to 5 million records in a single operation.

Conclusion:

By utilizing Composite API Requests and Data Loader, Bloomington Caregivers can efficiently bulk upload provider information to support Provider Search and the Provider Relationship Card in Salesforce Health Cloud. These methods ensure data integrity, streamline the import process, and enhance the functionality of provider-related features within the platform.

Answer : A, B

Call center agents at Bloomington Caregivers require tools to streamline provider lookup and appointment scheduling for patients. Salesforce Health Cloud offers specific capabilities tailored to address these needs.

1. Provider Search (Answer A):

Purpose: Provider Search enables users to locate healthcare providers based on specific criteria such as location, specialty, and availability. This functionality is essential for call center agents who need to identify and select suitable providers for patients.

Features:

Search by provider name, specialty, location, or other attributes.

Filter and sort results to narrow down the provider list.

Integration with the Salesforce Health Cloud data model to access real-time provider information.

Implementation Steps:

Configure Provider Records: Ensure all providers are set up correctly within Salesforce, including their specialties, locations, and other attributes.

Enable Provider Search: Add the Provider Search component to the appropriate Lightning pages or record layouts.

Provider Management Overview

Configuring Provider Search

2. Intelligent Appointment Management (Answer B):

Purpose: Intelligent Appointment Management streamlines the scheduling process by integrating provider availability, patient preferences, and other factors. It helps agents book appointments efficiently while minimizing scheduling conflicts.

Features:

Allows booking appointments based on provider availability.

Enables real-time synchronization with provider schedules.

Offers advanced scheduling logic to ensure compatibility with patient needs.

Implementation Steps:

Enable Salesforce Scheduler: Set up Salesforce Scheduler to integrate appointment booking with Health Cloud.

Configure Appointment Rules: Define scheduling policies, including time slots, duration, and patient-provider matching criteria.

Salesforce Scheduler for Health Cloud

Why Other Options Are Less Relevant:

C. Integrated Care Management: Integrated Care Management focuses on managing care plans, assessments, and interventions. It is not designed for provider lookup or appointment scheduling.

D. Experience Cloud for Health Cloud: Experience Cloud is used to create external portals for patient and provider access. While it can complement scheduling systems, it is not directly related to call center agent workflows.

Conclusion:

By implementing Provider Search and Intelligent Appointment Management, Bloomington Caregivers can empower their call center agents to efficiently locate providers and schedule appointments, improving patient satisfaction and operational efficiency.

Reference for Further Reading:

Salesforce Health Cloud Provider Management

Salesforce Scheduler Setup

Answer : A, C, D

Bloomington Caregivers, utilizing Salesforce Health Cloud, seeks to integrate with an external payer system to facilitate electronic requests for care services. To achieve this, the following business-level APIs are recommended:

1. Prior Authorization API

The Prior Authorization API enables healthcare providers to submit electronic requests for approval of specific medical services or treatments before they are provided. This process ensures that the proposed care is medically necessary and covered under the patient's insurance plan, thereby reducing delays and administrative burdens associated with manual authorization processes. Implementing this API streamlines communication between providers and payers, enhancing efficiency and patient care.

2. Referral Request API

The Referral Request API allows healthcare providers to electronically submit referrals for patients to receive specialist services or additional medical evaluations. This API ensures that referrals are processed promptly, facilitating timely access to necessary care for patients. By automating the referral process, it reduces paperwork and potential errors, improving coordination between primary care providers, specialists, and payers.

3. Care Services API

The Care Services API supports the management and coordination of various healthcare services provided to patients. It enables the electronic submission and tracking of service requests, such as home health care, medical equipment provision, or therapy sessions. This API ensures that all parties, including providers and payers, have up-to-date information on the services being rendered, promoting seamless care coordination and efficient resource utilization.

For detailed information on Health Cloud Business APIs, including those for Prior Authorization, Referral Requests, and Care Services, refer to the Salesforce Health Cloud Developer Guide:

Salesforce Developers

To understand how these APIs integrate with external systems and the benefits they offer in streamlining healthcare operations, consult the Salesforce Healthcare API documentation:

Salesforce Developers

Implementing these APIs will enable Bloomington Caregivers to efficiently manage electronic requests for care services, ensuring timely approvals and coordinated care delivery.

Answer : C

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.

Virtual Care Overview

Answer : A

In Salesforce OmniStudio, DataRaptors and Integration Procedures are both tools designed to handle data operations, but they serve different purposes and are suited to distinct scenarios.

DataRaptors:

DataRaptors are declarative tools used to extract, transform, and load data to and from Salesforce objects. They are ideal for straightforward data operations involving a limited number of objects.

Integration Procedures:

Integration Procedures are server-side processes that execute multiple actions in a single server call. They are designed for complex data operations, especially those involving multiple data sources or requiring orchestration of various steps.

Scenario Analysis:

Option A: The dataset required needs to read two SObjects with a clearly defined relationship.

Approach: A single DataRaptor Extract can efficiently handle this scenario by utilizing relationship queries to retrieve data from two related SObjects. DataRaptors support extracting data from multiple objects, provided there is a defined relationship between them, such as a parent-child relationship.

Option B: The action must perform a SendMail task and check for any errors.

Approach: This scenario involves sending an email and handling error checking, which goes beyond simple data extraction or loading. An Integration Procedure would be more appropriate here, as it can orchestrate multiple actions, including sending emails and managing error handling.

Option C: The task requires both a read and write of SObject data.

Approach: While DataRaptors can perform both read (Extract) and write (Load) operations, if the task involves complex logic or multiple steps, an Integration Procedure might be more suitable to manage the orchestration of these actions.

Option D: The dataset requires connecting to an external data source, such as CSV or REST API.

Approach: Connecting to external data sources typically requires capabilities beyond DataRaptors. Integration Procedures can handle REST API calls and integrate external data, making them the appropriate choice for this scenario.

Best Practices:

Use DataRaptors When:

You need to perform simple CRUD operations on Salesforce data.

The data operations involve a limited number of related objects.

Minimal transformation or processing logic is required.

Use Integration Procedures When:

The process involves multiple steps or complex logic.

You need to integrate with external systems or APIs.

Error handling and conditional processing are necessary.

**OmniStudio

Answer : C

Salesforce Shield provides the necessary tools to meet the compliance requirements of encryption at rest, activity notifications, and extensive field tracking. Below are the key considerations and practices:

Enable Salesforce Shield:

Platform Encryption: Encrypt sensitive data at rest to comply with regulations such as HIPAA and GDPR.

Field Audit Trail: Tracks changes to data, offering up to 10 years of historical data retention for auditing purposes.

Event Monitoring: Monitors user activities such as logins, data exports, and API calls to detect and respond to potential security threats.

Configure Data Classification:

Assign data sensitivity levels to fields (e.g., 'Confidential,' 'Restricted') to help manage compliance requirements.

Use Event Monitoring:

Tracks user actions and system usage to ensure transparency and accountability, which is essential for audits.

Why Other Options Are Incorrect:

A: Security Health Check and Data Loss Prevention policies are useful but do not address encryption or comprehensive compliance tracking.

B: Two-factor authentication enhances security but does not address monitoring or extensive field tracking.

D: Role hierarchy and IP restrictions control access but do not address encryption, tracking, or activity monitoring.

Salesforce Shield Overview

Event Monitoring Documentation