Salesforce Certified Health Cloud Accredited Professional Practice Test - Questions Answers, Page 16

The three key considerations when complying with HIPAA regulations using Salesforce Shield in conjunction with Bloomington Caregivers' data strategy are ensuring that sensitive data is encrypted both in transit and at rest, configuring data retention policies to ensure that records are retained for the appropriate length of time, and implementing audit trails and regularly reviewing them to detect unauthorized access attempts. Salesforce Shield provides these features as part of its platform encryption, event monitoring, and field audit trail capabilities.

To get a patient's allergy information from Bloomington Caregivers' Health Cloud system, an external provider should use the Interoperability API. This API allows external systems to access and exchange clinical data with Health Cloud using FHIR standards.The Interoperability API supports various FHIR resources, including AllergyIntolerance, which represents a patient's allergic or intolerant reaction to a substance1. AllergyMedication API, Patient Healthcare API, or Clinical Summary Healthcare API are not APIs that exist in Health Cloud.

To ensure compliance with HIPAA regulations, a Health Cloud feature that is essential is user authentication and access control.This feature allows Health Cloud administrators to verify the identity of users who access patient health information and assign appropriate permissions and sharing rules to limit their access to the minimum necessary2. User authentication and access control helps protect patient privacy and prevent unauthorized access or disclosure of protected health information (PHI). Real-time monitoring and alerts, social media integration, or data visualization and analytics are not features that directly help ensure HIPAA compliance.

To enable care providers to conduct video visits with patients and capture socioeconomic factors that impact their care, a consultant should recommend the Telehealth capability in Health Cloud. Telehealth allows care providers to connect with patients through video calls, chat messages, and surveys within Health Cloud.Telehealth also enables care providers to collect and analyze social determinants of health (SDOH) data from patients using assessments and surveys3. Telehealth helps improve patient engagement, satisfaction, and outcomes by providing convenient and personalized care. Integrated Care Management, Intelligent Appointment Management, or Virtual Care are not capabilities that can fulfill this use case.

To identify pain points and define project requirements for setting up a Contact Center leveraging Health Cloud, a consultant should work with the following group of people:

(Persona) Contact Center agent: This is the end user who interacts with patients through phone calls, emails, chats, or other channels. The Contact Center agent needs to have access to patient information, appointment scheduling, billing inquiries, plan updates, and other tasks in Health Cloud. The consultant should work with the Contact Center agent to understand their needs, challenges, and expectations from the system.

(Stakeholder) Salesforce administrator: This is the person who configures and maintains the Health Cloud system for the Contact Center. The Salesforce administrator needs to set up user profiles, permissions, page layouts, workflows, reports, dashboards, and other features in Health Cloud. The consultant should work with the Salesforce administrator to understand the technical requirements, limitations, and best practices for setting up the system.

(Stakeholder) Integration architect: This is the person who designs and implements the integration between Health Cloud and other external systems, such as EHRs, billing systems, or third-party applications. The integration architect needs to ensure that data is exchanged securely and accurately between Health Cloud and other systems. The consultant should work with the integration architect to understand the integration requirements, challenges, and solutions for the system. General physician, Marketing Cloud administrator, Care coordinator, Tableau developer or MuleSoft developer are not relevant people for this use case.

To enable call center agents at Bloomington Caregivers to look up providers by appointment on behalf of their patients, a consultant should recommend the following capabilities in Health Cloud:

Provider Search: This is a feature that allows call center agents to search for providers based on various criteria, such as location, specialty, availability, network status, ratings, languages spoken, etc.Provider Search helps call center agents find the best match for their patients' needs4.

Intelligent Appointment Management: This is a feature that allows call center agents to schedule appointments with providers based on their availability and preferences.Intelligent Appointment Management helps call center agents optimize appointment booking by considering factors such as travel time, urgency level, patient history, provider capacity, etc5. Experience Cloud for Health Cloud or Integrated Care Management are not capabilities that can fulfill this requirement.

To get a comprehensive view of a patient's prescriptions, including history, to improve health outcomes, a consultant should leverage the Medication Management capability in Health Cloud. Medication Management is a feature that helps providers and care coordinators manage the medication regimen of their patients, helping to improve patient safety and reduce healthcare costs.Medication Management allows providers and care coordinators to develop a curated list of current medications, review medications with the patient, make clinical decisions and recommendations based on the review, and communicate the recommendations to the patient and the patient's prescriber6. Intelligent Appointment Management, Integrated Care Management, or Virtual Care are not capabilities that can fulfill this use case.

FHIRR4 is the industry data standard that a consultant should use with Health Cloud. FHIRR4 stands for Fast Healthcare Interoperability Resources Release 4, and it is a standard for exchanging healthcare information electronically. FHIRR4 enables interoperability between different systems and applications, and supports a variety of use cases, such as clinical, administrative, and financial.

The three requirements for implementing patients or members in Health Cloud are ensuring the Person Account object is used, ensuring 1-to-1 Account to Contact relationship, and ensuring the Parent Account field is blank. These requirements are part of the Health Cloud data model and allow the consultant to model patients or members as individuals with personal and health information.