Salesforce Certified Health Cloud Accredited Professional Practice Test - Questions Answers, Page 5

According to the Salesforce documentation, Health Cloud is a health IT solution that helps healthcare organizations deliver personalized and collaborative care across every touchpoint. Some of the characteristics of Health Cloud are:

Health Cloud is an engagement layer that connects patients, providers, payers, and partners on a single platform. It enables seamless communication and collaboration across the healthcare ecosystem.

Health Cloud is part managed package and part core services. The managed package contains custom objects, fields, tabs, apps, components, and more that are specific to healthcare use cases. The core services include standard Salesforce features and functionality that are available across all Salesforce products.

According to theHealth Cloud Implementation Guide, Life Events are a feature in Health Cloud that allow clinicians to see an overview of the patient's life, such as Starting a New Job, Birth of a Baby, Divorce, etc. Life Events help clinicians understand the patient better and help them with a personalized care plan. Life Events can be added to the patient's timeline or life map. Life Goals, Household Map, Milestones, and Life Map are not features that show the patient's life events.

According to theHealth Cloud Data Model Developer Guide, Surveys, Intelligent Document Automation, and Care Coordination (Patient Services) are three features that are included with a Health Cloud License. Surveys allow you to create and send surveys to patients and providers to collect feedback and data. Intelligent Document Automation allows you to digitize your document management processes and extract data from documents using artificial intelligence. Care Coordination (Patient Services) allows you to manage patient care across multiple care plans and teams. EHR Mulesoft Templates and Intelligent Form Reader with Amazon Textract are not features that are included with a Health Cloud License.

According to theHealth Cloud Implementation Guide, Householding Map is the visual representation in Health Cloud that enables a care coordinator to see all the relationships between a patient and the people and organizations participating in the patient's care, including those across multiple care plans. Householding Map shows a graphical view of the patient's household members, care team members, providers, and other related entities. Timeline View, Care Team, Lightning Empower Components, and Patient Card are not visual representations that show all the relationships between a patient and their care participants.

According to theHealth Cloud Data Model Developer Guide, Insurance Benefit, MemberPlan, and Insurance Coverage are three standard objects available for Insurance Management. Insurance Benefit represents a specific benefit or service covered by an insurance plan. MemberPlan represents an insurance plan that a member is enrolled in. Insurance Coverage represents an insurance policy that covers one or more members. PurchaserPlan and Coverage Benefit are not standard objects available for Insurance Management.

According to theHealth Cloud Implementation Guide, the two steps that need to be taken during the set-up process for Utilization Management are:

Install the Health Cloud Care Request Extensions unmanaged package. This package contains custom objects, fields, layouts, tabs, and components for Utilization Management.

Assign the Health Cloud Permission Set License and the Health Cloud Platform Permission Set License to Salesforce Lightning users. These licenses enable access to Health Cloud features and functionalities for Lightning Experience. Assigning the Health Cloud Permission Set License and Health Cloud Platform Permission Set License to Salesforce Classic users is not necessary for Utilization Management. Installing the Utilization Management Extensions is not a valid step for Utilization Management.

Reference and details below.

According to the Salesforce documentation2, the following standard objects are used in the workflow to manage utilization data:

Care Request Plan: A care request plan is an object that stores information about the plan of care for a member.It includes details such as the diagnosis, the service type, the start and end dates, and the status of the plan2.

Care Authorization: A care authorization is an object that stores information about the approval or denial of a service or payment by a payer.It includes details such as the authorization number, the decision date, the decision reason, and the status of the authorization2.

Care Request: A care request is an object that stores information about the request for a service or payment by a provider or a member.It includes details such as the request type, the request date, the priority, and the status of the request2.

According to the Salesforce documentation3, when setting up a new care request record, you need to choose a case record type to identify the care request type. The care request type determines what fields and values are available on the care request record. There are four predefined care request types in Health Cloud: Physician Request, Drug Request, Admission Request, and Appeal Request.You can also create custom care request types to suit your business needs3.