Salesforce Salesforce Certifications HEALTH-CLOUD-ACCREDITED-PROFESSIONAL Questions & Answers

• Question 211:

  The Salesforce Admin for Lake Tahoe Hospital wants to implement Utilization Management. Which two of the listed steps need to be taken during the set-up process? (Choose Two)

  A. Install the Health Cloud Care Request Extensions unmanaged packagE.

  B. Assign the Health Cloud Permission Set License and Health Cloud Platform Permission Set License to Salesforce Classic users.

  C. Assign the Health Cloud Permission Set License andthe Health Cloud Platform Permission Set License to Salesforce Lightning users.

  D. Install the Utilization Management Extensions.

  Correct Answer: AC

  Explanation: According to the Health 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 forUtilization 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 UtilizationManagement.

• Question 212:

  A health plan provider would like to manage prior authorizations with predefined approval criteria. Which three features in Health Cloudshould a consultant recommend in this case? (Choose Three)

  A. Claims data model

  B. Business Rules Engine

  C. Utilization Management data model

  D. Intelligent Appointment Management

  E. Out-of-the-box Process libraries

  Correct Answer: BCE

  Explanation: The three features in Health Cloud thatthe consultant should recommend to the health plan provider are Business Rules Engine, Utilization Management data model, and Out-of-the-box Process libraries.These features enable the provider to manage prior authorizations with predefined approval criteria, store and track care requests, and leverage best practices and templates for common scenarios .

• Question 213:

  A payer needs to connect an electronic health record (EHR) to Health Cloud to display key clinical data to Health Cloud users. The data in the source system is aligned to FHIR R4 standards, but some transformation is anticipated. Which approach should a consultant use to set up this integration?

  A. A middleware integration solution that can handle data transformation if necessary

  B. A point-to-point API connection from the EHR to Health Cloud

  C. A "swivel-chair" standard operating procedure document that will be distributed to users

  D. A scheduled batch jobthat retrieves a file from an SFTP

  Correct Answer: A

  Explanation: The approach that a consultant should use to set up this integration is a middleware integration solution that can handle data transformation if necessary. A middleware integration solution is a software layerthat connects different systems and applications and facilitates data exchange between them. A middleware integration solution can also perform data transformation, which is the process of converting data from one format or structure to another. This is useful when the source system and the target system have different data models or standards.

• Question 214:

  Prior to go-live for Bloomington Caregivers, a consultant loads the future system users into Salesforce.

  Which two permission set licenses should the consultant assign to the users to give them access to Health Cloud? (Choose Two)

  A. Health Cloud Foundation permission set license

  B. Health Cloud permission set license

  C. Health Cloud Standard permission set license

  D. Health Cloud Platform permission set license

  Correct Answer: BC

  Explanation: The users need both the Health Cloud permission set license and the Health Cloud Standard permission set license to access Health Cloud features. The Health Cloud Foundation permission set license is for users who only need access to the Health Cloud data model, and the Health Cloud Platform permission set license is for users who need access to the Health Cloud Lightning components3.

• Question 215:

  Which three options are standard objects available for Insurance Management? (Choose Three)

  A. Insurance Benefit

  B. PurchaserPlan

  C. MemberPlan

  D. Coverage Benefit

  E. Insurance Coverage

  Correct Answer: ACE

  Explanation: Accordingto the Health 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.

• Question 216:

  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? (Choose Two)

  A. Configure the Connection Label with thesource systems API details

  B. Create a new record for the HCBenVerConnect custom setting

  C. Configure the link to the clearinghouses endpoint using a Uniform Resource Identifier (URI) path.

  D. Create a named credential to support authenticated callouts.

  Correct Answer: BD

  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 namedcredential specifies the URL of the external benefit service and the

  authentication protocol and credentials to use for callouts to that service. References: : Set Up Data for Benefit Verification : [Named Credentials]

• Question 217:

  Which Health Cloud feature helps ensure compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations?

  A. Real-time monitoring and alerts

  B. Social media integration

  C. Data visualization and analytics

  D. User authentication and access control

  Correct Answer: D

  Explanation: 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.

• Question 218:

  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. Thepatient 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 Two)

  A. Discovery Framework

  B. Integrated Care Management

  C. Care Programs

  D. Salesforce Surveys

  Correct Answer: AD

  Explanation: To enable care managers to call patients after they are discharged from a hospital and assign them personalized care plans based on their answers, a consultant should leverage Discovery Framework and SalesforceSurveys together. Discovery Framework is a feature that allows care managers to create assessments with questions and answers that are linked to care plan templates. Salesforce Surveys is a tool that allows care managers to create and send surveys to patients and capture their responses in Health Cloud. By using these two capabilities together, care managers can automate the process of assigning care plans based on patient responses.

• Question 219:

  Bloomington Caregivers currently has the organization-wide default controlling patient access set to Private. A new respiratory therapist is being added to support a patient at Bloomington Caregivers, and the therapist needs access to the patient's data. How should an administrator grant access to the respiratory therapist using out-of-the-box Health Cloud features?

  A. Add the respiratory therapist to the patient's Account Team and default access will be automatically granted.

  B. Add the respiratory therapist to the patient's Care Team and default access will be automatically granted.

  C. Add the respiratory therapist to the patient's Account Team and grant Read or Read/Write access as needed.

  D. Add the respiratory therapist tothe patient's Care Team and grant Read or Read/Write access as needed.

  Correct Answer: D

  Explanation: The administrator should add the respiratory therapist to the patient's Care Team and grant Read or Read/Write access as needed. This is the out-of-the-box Health Cloudfeature that allows the administrator to share patient data with other users who are involved in the patient's care. The Care Team is a group of users who can collaborate and communicate on a patient's health record.

• Question 220:

  How can a Health Cloud administrator change the label `Patient Card' to `Member Card' to be more aligned with their specific business terminology and use case?

  A. Go to setup, navigate to Custom Labels, select the `Patient_Card_Header'label, click the `New Local Translation/Overrides' button, Select the language and enter the new label.

  B. Go to the Health Cloud ?Admin Home page, select the Patient Card Configuration tab, and click `New' to add a new configuration for `Member.

  C. Go toSetup, navigate to the Patient Card object, and edit the Patient field name.

  D. Edit the page layout where the Patient Card is shown, click on the attributes for the Patient Card component, and edit the name to `Member'.

  E. The labels that come with the Health Cloud cannot be changed.

  Correct Answer: A

  Explanation: According to the Health Cloud Implementation Guide, the way to change the label `Patient Card' to `Member Card' to be more aligned with their specific business terminology and use case is to go to setup, navigate to Custom Labels, select the `Patient_Card_Header' label, click the `New Local Translation/Overrides' button, select the language and enter the new label. This method allows you tooverride the default label for a specific language. The other options are not valid ways to change the label.