Health-Cloud-Accredited-Professional Exam Dumps - Salesforce Health Cloud Accredited Professional Exam (SP25)

The FHIR R4 (Fast Healthcare Interoperability Resources) standard is the most suitable industry data standard for designing interoperability with Electronic Health Record (EHR) systems in Salesforce Health Cloud.

Widespread Adoption:

FHIR R4 is the industry standard for modern EHR systems, supported by regulatory bodies like the ONC (Office of the National Coordinator for Health IT).

Compatibility:

Salesforce Health Cloud’s Clinical Data Model and FHIR-compliant APIs are built to align with FHIR R4 standards.

Data Interoperability:

Facilitates seamless exchange of clinical data (e.g., medications, conditions, and encounters) between Health Cloud and EHR systems.

A. Clinical Data Acquisition: A generic concept rather than a specific standard.

B. Personal Health Record (PHR): Focuses on patient-controlled data, not interoperability.

C. HL7 v1 Messaging: An outdated standard superseded by FHIR for modern systems.

A Conditional Block in an Integration Procedure allows you to execute a group of actions based on specific conditions. This means that certain steps within the procedure will only run when predefined criteria are met, enabling dynamic and context-sensitive processing.

Implementation Steps:

Identify the Condition:

Determine the specific condition under which the email with the new address should be sent. For instance, if the appointment is booked at the new location, the condition could be based on the location ID or name.

Configure the Conditional Block:

Add a Conditional Block: Within your Integration Procedure, insert a Conditional Block where you want the conditional logic to apply.

Set the Execution Conditional Formula: Define the condition that evaluates to true when the email should be sent. For example, if the new location has an ID of 'New_Location_ID', the formula might be:

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%AppointmentLocationId% == 'New_Location_ID'

Add Actions Within the Conditional Block: Inside this block, include the necessary actions to send the email. This could involve:

Set Values Action: To define the email content, including the new address.

Email Action: To send the email to the patient.

Test the Integration Procedure:

Ensure that when an appointment is booked at the new location, the condition evaluates to true, triggering the email. Conversely, verify that appointments at other locations do not trigger this email.

Benefits of Using Conditional Blocks:

Dynamic Processing: Executes specific actions only when certain conditions are met, enhancing efficiency.

Simplified Logic Management: Organizes conditional logic within the Integration Procedure, making it easier to manage and maintain.

Improved Performance: By executing only necessary actions, it reduces processing time and resource consumption.

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

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.

To modify the timeline orientation in Health Cloud, administrators can adjust the Timeline View Configuration to display the timeline vertically.

Steps:

Access Timeline View Configuration:

Open the Health Cloud - Lightning Admin app in Salesforce.

Locate Timeline View Configuration records.

Edit the Configuration:

Select the relevant configuration for the timeline you wish to update.

Change the orientation setting to Vertical.

Save and activate the updated configuration.

Verify the Changes:

Check the timeline in the respective Lightning record pages to ensure the vertical layout is applied.

Why Other Options Are Incorrect:

A. Enable Timeline in Salesforce Setup: Timelines are already enabled in Health Cloud, and appearance changes are handled at the configuration level.

B. Toggle in Setup: There is no global toggle for orientation in Salesforce Setup.

D. Custom Metadata: Timeline orientation is not controlled by custom metadata; it's managed through view configurations.

Supporting Documentation:

Timeline Configuration Overview (help.salesforce.com)

Advanced Therapy Management (ATM) in Salesforce Health Cloud is specifically designed to support complex workflows and scheduling requirements, particularly for therapies involving multiple interdependent appointments. For a gene therapy program, ATM provides these features:

Reschedule Part of the Appointment Chain (Option A):

In complex workflows where multiple steps are involved (e.g., collection, processing, infusion), ATM allows administrators to reschedule individual appointments within the chain without disrupting the entire workflow.

This flexibility is crucial for accommodating unexpected delays or changes in the therapy process.

Book Multi-Step Appointments (Option B):

ATM supports the scheduling of interdependent, multi-step appointments that are a common feature of advanced therapies such as gene therapy.

For example, steps like apheresis, manufacturing, and infusion can be scheduled in sequence, ensuring coordination across various stakeholders.

Optimize Appointment Chain with Einstein (Option C):

While optimization using Einstein is a broader Salesforce capability, it is not directly tied to Advanced Therapy Management's out-of-the-box scheduling features.

Schedule a Telehealth Appointment (Option D):

Telehealth appointments are not the focus of ATM, which is designed for in-person and complex therapy workflows.

To automate the capture of data from faxes for clinical reviews and manage the approval process in Salesforce Health Cloud, the following capabilities are recommended:

Utilization Management in Health Cloud supports the payer's clinical review process by enabling workflows for reviewing medical necessity and care appropriateness.

It provides structured workflows for processing clinical documents, making it ideal for end-to-end determination and approval processes.

Features include care authorizations, review tracking, and decision management.

Intelligent Document Automation extracts data from documents (e.g., faxes, PDFs) and populates corresponding Salesforce records.

This capability reduces manual data entry, improves accuracy, and ensures data is automatically captured from the faxes received.

Paired with Salesforce workflows, it can trigger approvals or further reviews based on extracted data.

1. Utilization Management (A):2. Intelligent Document Automation (C):Why Other Options Are Incorrect:

B. Integrated Care Management: Focuses on patient care plans and coordination, not clinical review or payer processes.

D. Care Authorizations: Handles care approvals but does not support document data extraction or end-to-end review processes.

To enable external users to access Provider Search functionality, you need to make necessary changes to the Experience Cloud site and permissions:

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.

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.