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Salesforce Health Cloud Accredited Professional Sample Questions (Q75-Q80):

NEW QUESTION # 75
A Health Cloud administrator has set up risk recalculation by setting the recalculate flag to TRUE but is not seeing the recalculation score for the patient. Which of the following is most likely the reason why recalculation score for the patient is not displaying?

A. Use the CMS recalculation API
B. CMS scores cannot be recalculated in health cloud.
C. Risk scores are only recalculated for patients who are affiliated with a care program.
D. Use a 3 - Apply to Real World / Analyze / Evaluated party API to recalculate CMS risk score.

Answer: C

Explanation:
Reference and details below.

NEW QUESTION # 76
Bloomington Caregivers want to offer its patients remote monitoring to bring data from patient devices into Health Cloud.
Which set of records should an administrator populate to implement this functionality?

A. Units of Measure, Code Sets, Remote Monitoring Device Types, Care Episodes
B. Code Sets, Biometrics, Care Observations, Chart Metrics
C. Code Sets, Units of Measure, Care Metric Targets, Care Observations
D. Units of Measure, Remote Monitoring Device Types, Care Observations, Code Sets

Answer: C

NEW QUESTION # 77
Bloomington Caregivers is currently in the process of updating its systems as part of a corporate-wide digital transformation initiative. Which two considerations should a consultant include when configuring security, sharing, and visibility rules in Health Cloud to meet a healthcare organization's needs?
Choose 2 answers

A. Regularly review and update security, sharing, and visibility settings in Health Cloud to align with evolving needs, regulations, and organizational policies.
B. Review Salesforce documentation and implement a standardized security and visibility model.
C. Understand customer needs, data security, privacy concerns, regulatory compliance, and sharing or visibility restrictions.
D. Ensure that data mask is used in production to appropriately manage protected health information (PHI).

Answer: A,C

Explanation:
When configuring security, sharing, and visibility in Salesforce Health Cloud, consultants must consider healthcare-specific requirements such as HIPAA, GDPR, and organizational policies. Two critical considerations are:
B . Understand customer needs, data security, privacy concerns, regulatory compliance, and sharing or visibility restrictions.
Healthcare data involves PHI (Protected Health Information), which requires strict compliance with HIPAA and regional regulations.
Consultants must tailor security models to meet specific privacy and compliance requirements.
C . Regularly review and update security, sharing, and visibility settings in Health Cloud to align with evolving needs, regulations, and organizational policies.
Regulations change, and so do organizational needs. Security and sharing rules must be reviewed and updated periodically to ensure ongoing compliance and relevance.
Why not the others?
A . Ensure that data mask is used in production to appropriately manage PHI.
Salesforce Data Mask is a tool for sandbox data anonymization, not for production. PHI in production should be secured using encryption, field-level security, and sharing rules-not Data Mask.
D . Review Salesforce documentation and implement a standardized security and visibility model.
While documentation is helpful, healthcare organizations require tailored security models that fit unique compliance and data access needs, not a one-size-fits-all model.
Salesforce Health Cloud Reference:
* Salesforce Health Cloud Security & Compliance Guidance:
"When configuring Health Cloud, ensure security models reflect customer needs, privacy concerns, and regulatory compliance (HIPAA, GDPR, etc.)."
"Review and update security, sharing, and visibility models regularly to address evolving business, regulatory, and compliance requirements."

NEW QUESTION # 78
A health plan provider would like to manage prior authorizations with predefined approval criteria.
Which three features in Health Cloud should a consultant recommend in this case?
Choose 3 answers

A. Utilization Management data model
B. Out-of-the-box Process libraries
C. Intelligent Appointment Management
D. Business Rules Engine
E. claims data model

Answer: A,B,D

Explanation:
Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with References
* Business Rules Engine (BRE):
* Enables you to define, automate, and manage approval criteria for prior authorizations.
* Extract:
"Use Business Rules Engine to automate decisions and apply approval criteria for utilization management and prior authorizations."
-OmniStudio: Business Rules Engine
* Utilization Management Data Model:
* Provides standard Health Cloud objects to manage prior authorizations, including requests, approvals, and denials.
* Extract:
"Health Cloud Utilization Management provides a complete data model for tracking prior authorization requests and decisions."
-Health Cloud: Utilization Management Data Model
* Out-of-the-box Process Libraries:
* Prebuilt processes for common healthcare workflows, including prior authorizations.
* Extract:
"Out-of-the-box process libraries provide reusable flows for utilization management, including authorizations, appeals, and notifications."
-Administer Health Cloud: Process Libraries
* Incorrect Options:
* A. Claims data model:Related to claims, not prior authorizations.
* B. Intelligent Appointment Management:Focused on scheduling, not utilization management or prior authorization.
References:
OmniStudio: Business Rules Engine
Health Cloud: Utilization Management Data Model
Administer Health Cloud: Process Libraries

NEW QUESTION # 79
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. Care Blockers
D. Utilization Management

Answer: B

Explanation:
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

NEW QUESTION # 80
......

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Liam Martin Liam Martin

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