Most Recent Salesforce Health-Cloud-Accredited-Professional Exam Dumps

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.

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

Steps to Enable Provider Search for External Users:

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.

Additional Notes:

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.

Enable Provider Search in Health Cloud

Experience Cloud for Health Cloud

To fulfill the requirement of assigning a personalized care plan based on responses from a questionnaire, the following capabilities should be leveraged:

Salesforce Surveys (C):

Facilitates the creation of custom questionnaires.

Enables care managers to record patient responses directly within Salesforce.

Integrated Care Management (B):

Uses care plans to define problems, goals, and interventions.

Automatically assigns personalized care plans based on survey responses via automation (e.g., Flows or OmniScripts).

How These Work Together:

Step 1: Care managers use Salesforce Surveys to record patient responses post-discharge.

Step 2: A configured automation (e.g., Flow) processes these responses and assigns the appropriate care plan using Integrated Care Management.

Why Other Options Are Incorrect:

A . Care Programs: Focuses on managing care program enrollments, not care plan automation.

D . Discovery Framework: Helps manage patient needs and goals but does not handle surveys or care plan assignments.

Salesforce Surveys Overview

Integrated Care Management Overview

To implement Identity Verification in Salesforce and add a new search parameter, the consultant needs to configure the Identity Verification Parameter Item record.

Key Details:

Identity Verification Parameter Item:

Purpose: Defines the parameters used in the identity verification process, such as name, email, phone, or custom attributes.

Configuration Steps:

Navigate to Identity Verification Parameter Item in Setup or the appropriate Health Cloud app.

Create or modify a record to include the new parameter, such as a specific field or custom attribute.

Link it to the corresponding Identity Verification Process Detail to ensure it's utilized during verification.

Supporting Documentation:

Salesforce Health Cloud Admin Guide (help.salesforce.com)

Identity Verification Configuration Overview (developer.salesforce.com)

To track account information and its geographical details, the following objects in Salesforce Health Cloud support the scenario:

Location:

Represents the physical location of a healthcare facility, such as a hospital or clinic.

Tracks details like address, contact information, and geocoordinates for mapping purposes.

Facilitates integration with tools for location-based services or routing.

Healthcare Facility:

Represents the organizational entity (e.g., hospital, clinic, or medical practice).

Stores information about the type of facility, services offered, and affiliations with healthcare networks.

Facility Address:

Stores detailed address information specific to a healthcare facility.

Enables differentiation between multiple addresses for the same facility, such as billing and physical addresses.

Why Not the Other Options?

D . Clinic Location: This object is not part of Health Cloud's standard data model.

E . Account: While Account is central to tracking organization details, it does not specifically address geographical details.

Use Case Implementation: By combining Location, Healthcare Facility, and Facility Address objects, organizations can provide comprehensive geographical and organizational data to representatives, enabling efficient onsite operations.

Health Cloud Data Model Documentation

Geolocation Features in Salesforce