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Salesforce Health Cloud Accredited Professional Sample Questions (Q29-Q34):

NEW QUESTION # 29
A provider wants its care coordinators to track a series of problems, goals, and interventions (PGIs) related to a patient's care in a repeatable, efficient way.
Which approach should a consultant recommend?

A. Coach the care coordinators to quickly create tasks using a checklist.
B. Create care program templates and assign them to patients.
C. Configure an action plan template with tasks for each PGI.
D. Define a PGI Library and care plan templates using the library.

Answer: D

Explanation:
The best approach is to define a PGI Library and care plan templates using the library. This will enable the care coordinators to track PGIs in a standardized way, and also leverage best practices and evidence-based guidelines.

NEW QUESTION # 30
A Health Cloud administrator working on a Care Coordination project needs to change the role name 'Care Coordinator' to 'Care Consultant' to match the organizations nomenclaturE. Which three steps should the administrator take to ensure all Tasks identify the role 'Care Consultant'? (Choose three.)

A. Update the corresponding roles in the Assigned To picklist for the Care Plan Template Task object.
B. Update the organization roles in the CarePlan_Role_Care_Coordinator key:value pair in Health Cloud Setting.
C. Create an ETL script to update the previously assigned To picklist values of Tasks created in the past.
D. Update/Add the organization roles in the CarePlan_Role_Patient key:value pair in Health Cloud Setting.
E. Update the Care Plan Record Type custom metadata type to reflect the care coordination processes specific to the Care Coordinators.

Answer: A,B,D

NEW QUESTION # 31
Which is true about choosing a care request type when setting up a new care request record?

A. Any case record type can be chosen when creating care request.
B. A case record type can be chosen to identify a single care request type for each care request.
C. A care request type cannot be chosen when creating a new care request.
D. Multiple care request types can be chosen for a single care request.

Answer: B

Explanation:
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.

NEW QUESTION # 32
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?
Choose 2 answers

A. Intelligent Document Automation
B. Utilization Management
C. Integrated Care Management
D. Care Authorizations

Answer: A,B

Explanation:
To automate the capture of data from faxes for clinical reviews and manage the approval process in Salesforce Health Cloud, the following capabilities are recommended:
1. Utilization Management (A):
Utilization Management in Health Cloud supports the payer's clinical review process by enabling workflows for reviewing medical necessity and care appropriateness.
It provides structured workflows for processing clinical documents, making it ideal for end-to-end determination and approval processes.
Features include care authorizations, review tracking, and decision management.
2. Intelligent Document Automation (C):
Intelligent Document Automation extracts data from documents (e.g., faxes, PDFs) and populates corresponding Salesforce records.
This capability reduces manual data entry, improves accuracy, and ensures data is automatically captured from the faxes received.
Paired with Salesforce workflows, it can trigger approvals or further reviews based on extracted data.
Why Other Options Are Incorrect:
B . Integrated Care Management: Focuses on patient care plans and coordination, not clinical review or payer processes.
D . Care Authorizations: Handles care approvals but does not support document data extraction or end-to-end review processes.
Reference:
Utilization Management in Health Cloud
Intelligent Document Automation Overview

NEW QUESTION # 33
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 Provider search in an authenticated community page
B. Control the list of the fields displayed in the search panel and search results
C. Use custom fields defined in any entities within the Provider data model in Health cloud as part of the search component.
D. Use provider search in an unauthenticated community page
E. Use custom fields defined in healthcare provider and healthcare Practitioner Facility entities as part of the search provider.

Answer: A,B,E

Explanation:
According to the Salesforce documentation, the following capabilities of the provider search would a customer service agent use to help payers find the right provider:
Control the list of fields displayed in the search panel and search results. The provider search allows customer service agents to customize which fields are displayed in the search panel and search results for different types of providers or facilities. This helps them find the most relevant information quickly and easily.
Use custom fields defined in healthcare provider and healthcare practitioner facility entities as part of the search provider. The provider search allows customer service agents to use custom fields defined in healthcare provider and healthcare practitioner facility entities as part of the search criteria or filters. This helps them narrow down their search results based on specific attributes or preferences.

NEW QUESTION # 34
......

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Lucas Carter Lucas Carter

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