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質問 # 40
Healthcare companies face challenges from a variety of sources. What are three common challenges they could encounter that HC solves for? (Choose 3)
- A. There are not enough Providers for the amount of the Care Requests.
- B. Insufficient funds allocated to Research and Development.
- C. Growing customer expectations for delivery of care everywherE.
- D. Growing demand for a more personalized care experience.
- E. The need to drive sales while reducing cost.
正解：C、D、E
解説：
According to the Salesforce website, Health Cloud solves for some of the common challenges that healthcare companies face from various sources. Some of these challenges are:
The need to drive sales while reducing cost: Health Cloud helps healthcare companies increase their revenue and efficiency by streamlining their processes, automating their workflows, and optimizing their resources.
Growing customer expectations for delivery of care everywhere: Health Cloud helps healthcare companies deliver personalized and collaborative care across every touchpoint, whether it is in person, online, or on mobile devices.
Growing demand for a more personalized care experience: Health Cloud helps healthcare companies provide tailored and holistic care for each customer by leveraging data insights, artificial intelligence, and digital engagement tools.
質問 # 41
Which Health Cloud feature helps ensure compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations?
- A. User authentication and access control
- B. Real-time monitoring and alerts
- C. Social media integration
- D. Data visualization and analytics
正解：A
解説：
Salesforce Health Cloud includes several features to ensure compliance with regulations like the Health Insurance Portability and Accountability Act (HIPAA). Among these, user authentication and access control is a key feature that safeguards protected health information (PHI) by controlling and restricting access based on user roles, permissions, and organizational policies.
Why User Authentication and Access Control is Key for HIPAA Compliance:
Role-Based Access Control (RBAC):
Salesforce allows administrators to define and manage access through role hierarchies and sharing rules. Only authorized users can view, edit, or process sensitive health data.
Shield Platform Encryption:
Salesforce Shield provides encryption capabilities for PHI. It ensures data remains secure at rest and during transit, an essential requirement of HIPAA.
Audit Trails and Field Tracking:
Salesforce Health Cloud tracks changes to sensitive data fields, offering detailed logs for auditing purposes.
Two-Factor Authentication (2FA):
2FA ensures only authenticated users access the system, adding an extra layer of security to sensitive health information.
Compliance Policies:
Salesforce's built-in compliance tools, like health data masking and logging, align with HIPAA requirements.
Why Other Options Are Incorrect:
A . Data visualization and analytics:
While important for decision-making, this feature does not directly address HIPAA compliance as it focuses on operational insights rather than security.
B . Social media integration:
Social media features are unrelated to HIPAA compliance and could pose risks if improperly managed.
D . Real-time monitoring and alerts:
While useful for operational efficiency, this feature is not specifically tied to compliance with HIPAA's privacy and security rules.
Reference:
Salesforce Security Guide
Shield Platform Encryption Guide
Administer Health Cloud
質問 # 42
A payer receives faxes for clinical review as part of the determination process. The payer needs Health Cloud to automatically capture the data from the documents received from patients and manage the end-to-end approval process.
Which two Health Cloud capabilities should a consultant recommend as a way to build this process?
- A. Intelligent Document Automation
- B. Care Authorizations
- C. Utilization Management
- D. Integrated Care Management
正解：A、B
質問 # 43
Bloomington Caregivers uses Health Cloud and has an integration setup with an external payer system.
Which three business level APIs should a consultant recommend to help the payer organization electronically receive requests for services?
- A. Care Services
- B. Referral Request
- C. Admission, Discharge, and Transfer (ADT)
- D. Prior Authorization
- E. Benefit Verification
正解：A、B、D
解説：
To help the payer organization electronically receive requests for services from Bloomington Caregivers, a consultant should recommend the following business level APIs:
Prior Authorization API: This API allows Bloomington Caregivers to create requests for prior authorization for services that require approval from the payer organization. The API also allows Bloomington Caregivers to update or cancel existing requests or query the status of requests9.
Care Services API: This API allows Bloomington Caregivers to create requests for care services that are covered by the payer organization's benefit plans. The API also allows Bloomington Caregivers to update or cancel existing requests or query the status of requests10.
Referral Request API: This API allows Bloomington Caregivers to create requests for referrals to other providers that are part of the payer organization's network. The API also allows Bloomington Caregivers to update or cancel existing requests or query the status of requests11. Admission, Discharge, and Transfer (ADT) API or Benefit Verification API are not business level APIs that can fulfill this requirement.
質問 # 44
Care managers at Bloomington Caregivers call patients after they are discharged from a hospital to ask a series of questions, which the care manager enters Into Health Cloud, The patient Is then automatically assigned a personalized care plan based on the answers they provided.
Which two capabilities should a consultant leverage together to fulfill this requirement?
Choose 2 answers
- A. Salesforce Surveys
- B. Discovery Framework
- C. Care Programs
- D. Integrated Care Management
正解：A、D
解説：
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.
Reference:
Salesforce Surveys Overview
Integrated Care Management Overview
質問 # 45
Which two steps can an administrator take to configure the care program enrollment flow? (choose two)
- A. Identify the patient as approved candidate in the flow.
- B. Customize the care coordinator flow for patient.
- C. Customize the out of box enrollment flow to match requirements
- D. Use the provider enrollment flow out of box.
- E. Customize the provider site flow.
正解：A、C
解説：
Customizing the out of box enrollment flow to match requirements (A) and identifying the patient as approved candidate in the flow (D) are two steps that an administrator can take to configure the care program enrollment flow. Using the provider enrollment flow out of box (B) is not applicable, as it is for providers, not patients. Customizing the provider site flow and customizing the care coordinator flow for patient (E) are not related to the care program enrollment flow.
質問 # 46
A company recently migrated from Service Cloud to Health Cloud and is working on strengthening their relationships within their provider network. Which object within the Provider Relationship Management data model can be used to track each of the different locations where a provider practiced?
- A. HealthcarePractitionerFacility
- B. HealthcareProviderSpeciality
- C. HealthcareProvider
- D. HealthcareFacilityNetwork
- E. BusinessLicense
正解：A
質問 # 47
When setting up Intelligent Sales, which three types of records should an administrator create for a Field Sales Agent before Visit records can be created? (Choose three.)
- A. Accounts
- B. Locations
- C. Assets
- D. Contacts
- E. Opportunities
正解：A、B、D
質問 # 48
Which type of files can be uploaded as Consent Documents in secure folders of Health Cloud for a Care Program? (Choose two)
- A. Copy-protected PDF files
- B. Authorization consent forms
- C. Password protected files
- D. Opt out consent documents
- E. Files that are smaller than 2 - Simple Application 5MB
正解：B、E
解説：
According to the Salesforce documentation1, consent documents are files that capture the enrollee's consent to participate in a care program. Consent documents can be uploaded as PDF, DOC, DOCX, or JPG files in secure folders of Health Cloud for a care program. The file size limit for consent documents is 2 MB1. Therefore, options C and D are correct. Option A is incorrect, because copy-protected PDF files cannot be uploaded as consent documents. Option B is incorrect, because opt out consent documents are not used to enroll in a care program, but to withdraw from it. Option E is incorrect, because password protected files cannot be uploaded as consent documents.
質問 # 49
Bloomington Caregivers has set up Health Cloud and needs to analyze patient referrals through Salesforce reports and dashboards.
Which Health Cloud unmanaged package should a consultant recommend to deliver a prebuilt dashboard and reports?
- A. Health Cloud Member Referral Management Reports
- B. Health Cloud Network Management Reports
- C. Health Cloud Reports for Patient Referral Management
- D. Health Cloud Referral Management Reports
正解：C
解説：
Salesforce Health Cloud offers various unmanaged packages that extend its functionality by providing specialized tools and prebuilt components. For Bloomington Caregivers aiming to analyze patient referrals through Salesforce reports and dashboards, the Health Cloud Reports for Patient Referral Management unmanaged package is specifically designed to meet this need.
This package includes:
Prebuilt Reports: A set of reports focused on key metrics related to patient or member referrals, such as referral status, sources, and outcomes.
Dashboard: A comprehensive dashboard that consolidates these reports, providing visual insights into referral patterns and performance.
By installing this package, Bloomington Caregivers can leverage ready-made analytical tools to monitor and optimize their referral processes without the need to develop custom reports from scratch. This accelerates the implementation timeline and ensures that best practices in referral management reporting are utilized.
Installation Steps:
Access the Installer URL: Navigate to the installer URL for the Health Cloud Reports for Patient Referral Management package: Health Cloud Reports for Patient Referral Management.
Log In to Salesforce: Ensure you are logged into the Salesforce org where you intend to install the package.
Select Installation Audience: Choose the appropriate installation option (e.g., Install for Admins Only, Install for All Users, or Install for Specific Profiles) based on your organization's requirements.
Install the Package: Follow the on-screen instructions to complete the installation.
Verify Installation: After installation, navigate to the "Installed Packages" section in Setup to confirm that the package is listed.
Assign Permissions: Ensure that users who need access to the reports and dashboard have the necessary permissions. This may involve assigning specific permission sets or updating profile settings.
Customize as Needed: While the package provides prebuilt reports and a dashboard, you can customize them to better fit your organization's specific needs.
Implementing this package enables Bloomington Caregivers to effectively analyze and manage patient referrals, leading to improved operational efficiency and patient care outcomes.
Reference:
Install Health Cloud Packages
Monitor Patient Referrals
質問 # 50
Which of the following Salesforce and Health Cloud objects can be used to represent Provider and their relationship in a Provider Managementdata model? (Choose Three.)
- A. Case
- B. Healthcare Provider
- C. Contact
- D. Healthcare Practitioner Facility
- E. Lead
正解：B、C、D
解説：
Explanation
Reference and details below.
質問 # 51
Bloomington Caregivers wants to show its end users highlighted information about its providers that work at specific facilities, in one place. This would include provider contact details and the provider's specialty at a given facility. Which Health Cloud feature should a consultant implement to fulfill this requirement?
- A. Provider Network Management
- B. Provider Relationship Card
- C. Facility Relationship Center
- D. HCProvider360 FlexCard
正解：D
解説：
To show end users highlighted information about providers that work at specific facilities, a consultant should implement the Provider Relationship Card feature. This feature allows end users to view information such as provider name, contact details, specialty, role, facility name, and relationship status on a card-like interface on the Facility record page. Provider Network Management, Facility Relationship Center, or HCProvider360 FlexCard are not features that can fulfill this requirement.
質問 # 52
A provider is looking to view a patient's insurance coverage, including co-pay and deductible information, prior to their appointment. Using Health Cloud, which two steps should a consultant take to access this information in the Benefit Verification component?
- A. Configure the link to the clearinghouses endpoint using a Uniform Resource Identifier (URI) path.
- B. Create a new record for the HCBenVerConnect custom setting
- C. Configure the Connection Label with the source systems API details
- D. Create a named credential to support authenticated callouts.
正解：B、D
解説：
B is correct because creating a new record for the HCBenVerConnect custom setting is required to access the Benefit Verification component in Health Cloud. The HCBenVerConnect custom setting stores the configuration details for the connection to the external benefit service that provides the patient's insurance coverage information.
D is correct because creating a named credential to support authenticated callouts is required to access the Benefit Verification component in Health Cloud. A named credential specifies the URL of the external benefit service and the authentication protocol and credentials to use for callouts to that service.
質問 # 53
Bloomington Caregivers has decided to enable Integrated Care Management so that Its end users can leverage Health Cloud Assessments. Administrators must now configure their org to be able to use Assessments.
Which three steps should the administrator take as part of the org setup to enable Assessments?
Choose 3 answers
- A. Enable Discovery Framework in Setup.
- B. Enable users to view and complete Assessments.
- C. Add the Assessment component to the Patient page
- D. Download and Install OmniStudio.
- E. Update sharing settings in Setup.
正解：A、B、D
解説：
To enable Assessments in Salesforce Health Cloud, administrators must configure the org appropriately, ensuring that users can effectively utilize assessment tools for patient evaluations. The following steps are essential:
Download and Install OmniStudio (Answer A):
Purpose: OmniStudio provides a suite of declarative tools, including OmniScripts and DataRaptors, essential for building and managing assessments within Health Cloud.
Implementation Steps:
Access Salesforce AppExchange: Navigate to the AppExchange marketplace.
Search for OmniStudio: Locate the OmniStudio package suitable for your Salesforce edition.
Install the Package: Follow the installation prompts, ensuring that all components are correctly deployed.
Reference:
Enable Users to View and Complete Assessments (Answer B):
Purpose: Granting appropriate permissions ensures that users can access, view, and complete assessments as part of patient care management.
Implementation Steps:
Assign Permission Sets:
Health Cloud Permission Sets: Assign relevant Health Cloud permission sets to users, such as Health Cloud Standard or Health Cloud Platform, to provide baseline access.
質問 # 54
Where can a Salesforce administrator configuring different levels of access to patients' care plans, configure team members different levels of access to cases to ensure sensitive data is not shared with the wrong groups?
- A. Case Team Roles
- B. Contact Roles on case
- C. Permission Sets
- D. Profiles
- E. Permission Set Groups
正解：A
解説：
Reference and details below.
質問 # 55
A pharmaceutical company is looking to support patients throughout their clinical journey. One of the factors the company needs to track is the socioeconomic and cultural barriers that could hinder a patient's process.
Which Health Cloud capability should a consultant implement to fulfill this requirement?
- A. Clinical Barriers
- B. Social Determinants of health
- C. Utilization Management
- D. Care Blockers
正解：B
解説：
Tracking socioeconomic and cultural barriers that could hinder a patient's progress requires Salesforce Health Cloud's Social Determinants of Health (SDoH) capability.
Key Features of Social Determinants of Health:
Comprehensive Patient View:
Captures data on factors like income, education, housing, and transportation that influence health outcomes.
Risk Identification:
Identifies potential barriers and integrates them into care plans, enabling proactive intervention.
Care Coordination:
Helps care teams design support services and interventions tailored to individual patient needs.
Why Other Options Are Less Suitable:
B . Clinical Barriers: While useful, this focuses on clinical obstacles rather than broader socioeconomic factors.
C . Utilization Management: Centers on managing care authorizations, not patient barriers.
D . Care Blockers: Not a formal Health Cloud capability; overlaps conceptually with SDoH.
Reference:
Salesforce Social Determinants of Health Overview
質問 # 56
A call center agent at Bloomington Caregivers wants the ability to look up providers by location and specialty, to schedule an appointment on behalf of their patients.
Which two capabilities should a consultant recommend to enable this requirement?
Choose 2 answers
- A. Experience Cloud for Health Cloud
- B. Intelligent Appointment Management
- C. provider Search
- D. Integrated Care Management
正解：B、C
解説：
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.
Reference:
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
質問 # 57
An admin wants to enable their users to leverage Provider Search,which denormalized object holds data to support this feature
- A. Provider Search Sync Logs
- B. HealthCare Provider Facility
- C. Care Provider Searchable field
- D. HealthCare Provider
正解：C
質問 # 58
The Salesforce administrator for ABC Policies Inc, a Health Care Payer Organization, would like to enable the members to enroll in and out of Care Program multiple times. Where, within Health Cloud Settings, should a Health Cloud administrator make changes to accomplish this requirement?
- A. Program Enrollee Settings
- B. Care Request Settings
- C. Health Cloud Settings
- D. Care Program Settings
正解：A
解説：
Reference and details below.
質問 # 59
Which three types of customizations can be managed through the Health Cloud Admin app? (Choose three.)
- A. Cross Object Relationships
- B. Household Relationships
- C. Permission Set Assignments
- D. Timeline View Configurations
- E. Patient CardConfigurations
正解：A、D、E
解説：
Explanation
Reference and details below.
質問 # 60
Which of the following capabilities of the provider search would a customer service Agent use to help payers to find the right provider? (Choose Three.
- A. Use custom fields defined in healthcare provider and healthcare Practitioner Facility entities as part of the search provider.
- B. Use Provider search in an authenticated community page
- C. Use provider search in an unauthenticated community page
- D. Use custom fields defined in any entities within the Provider data model in Health cloud as part of the search component.
- E. Control the list of the fields displayed in the search panel and search results
正解：A、B、E
質問 # 61
Care Requests seek authorization from a health plan for drugs, services, and admissions. They can also contain request for review, appeals, complaints and grievances. Which Care Request review ensure that a member is getting the right care in timely and cost-effective way?
- A. Preauthorization Review
- B. Retrospective Review
- C. Disposition Review
- D. Concurrent Review
- E. Care Review
正解：D
解説：
Concurrent review is a type of care request review that ensures that a member is getting the right care in a timely and cost-effective way. It involves reviewing the medical necessity and appropriateness of an ongoing service or admission3. Disposition review, care review, preauthorization review, and retrospective review are not the correct terms for this type of review.
質問 # 62
Which 3 of the components are customizable in HC?
- A. Custom Label
- B. Life Events
- C. EHR Data
- D. Patient Card
- E. Timeline
正解：A、D、E
質問 # 63
Bloomington Caregivers is implementing Home Health scheduling with Health Cloud. It must ensure that those who need to schedule the visits have the right permission set license.
Which permission set license should a consultant assign in this scenario?
- A. Field Dispatch Scheduler
- B. Healthcare Visit Manager
- C. Execute Health Scheduling
- D. Manage Home Health
正解：B
解説：
To implement Home Health scheduling with Health Cloud, a consultant should assign Healthcare Visit Manager permission set license to users who need to schedule visits. This permission set license grants users access to objects and fields related to home health visits, such as Service Appointment, Service Resource, Service Territory, Service Report Template, etc7. This permission set license also enables users to use Salesforce Scheduler for Health Cloud feature, which allows users to schedule home health visits based on various criteria, such as availability, location, skills, etc8. Field Dispatch Scheduler, Manage Home Health, or Execute Health Scheduling are not permission set licenses that can fulfill this scenario.
質問 # 64
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