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A provider is looking to implement Utilization Management in Health Cloud and submit and track pror authorizations. Which two capabilities should a consultant customize to achieve this?
Choose 2 answers
Implementing Utilization Management in Salesforce Health Cloud to handle prior authorizations involves customizing specific components to streamline the submission and tracking processes.
1. Integrate Using MuleSoft Direct for Electronic Prior Authorizations (ePA):
MuleSoft Direct for Health Cloud facilitates seamless integration between Electronic Health Record (EHR) systems and Health Cloud. This integration enables providers to electronically submit and track prior authorization requests, eliminating manual processes and reducing decision times. By leveraging electronic prior authorization (ePA), healthcare organizations can automate workflows, ensure timely approvals, and enhance patient care delivery.
2. Customize the Service Request Object:
The Service Request object in Health Cloud serves as a central repository for managing various patient-related requests, including prior authorizations. Customizing this object allows organizations to align the authorization process with their specific business requirements. Enhancements may include adding custom fields to capture necessary clinical information, modifying page layouts for improved user experience, and implementing validation rules to ensure data accuracy. Such customizations facilitate efficient tracking and management of authorization requests, ensuring that all relevant information is readily accessible to care teams.
How should a consultant recommend modeling a physician's locations of service, when the physician practices at multiple hospitals and clinics?
The Healthcare Practitioner Facility object in Salesforce Health Cloud allows modeling of a physician's locations of service. It captures relationships between healthcare practitioners and the facilities (hospitals, clinics, etc.) where they practice.
Key Features of Healthcare Practitioner Facility:
Multiple Locations: Tracks all locations where a physician practices.
Relationships: Links practitioners to facilities, ensuring accurate mapping of service areas.
Operational Benefits: Facilitates scheduling, referrals, and care coordination by providing accurate location data.
Why Other Options Are Incorrect:
Healthcare Taxonomy: Used to classify healthcare providers based on specialties and services, not locations.
Healthcare Provider Relationship: Tracks relationships between healthcare organizations or facilities, not individual physician locations.
Account Contact Relationship: Provides a general relationship mapping but lacks the specificity required for modeling service locations.
A provider system wants to leverage Health Cloud to enable its care providers to conduct video visits with their patients to discuss socioeconomic factors that impact their care.
Which capability should a consultant recommend for this use case?
The Virtual Care capability in Salesforce Health Cloud enables care providers to conduct video consultations with patients. This functionality is specifically designed to facilitate telemedicine appointments, including addressing social determinants of health (SDOH) that may impact patient care.
Key Features of Virtual Care:
Video Visits: Supports secure and HIPAA-compliant video calls between providers and patients.
Integration with Care Plans: Allows discussions of SDOH within the context of the patient's care plan, promoting holistic care.
Scheduling and Notifications: Integrates with scheduling systems to set up and notify patients of video appointments.
Why Other Options Are Incorrect:
Intelligent Appointment Management: Focuses on optimizing in-person appointment scheduling rather than telehealth services.
Telehealth: While closely related, the specific Salesforce Health Cloud term for video consultations is 'Virtual Care.'
Integrated Care Management: Manages care plans and tasks but does not directly address video consultations.
When implementing Provider Search functionality, which two changes allow an external user to access search results?
Choose 2 answers
To enable external users to access Provider Search functionality, you need to make necessary changes to the Experience Cloud site and permissions:
Steps to Enable Provider Search for External Users:
Add the Provider Search Component to the Site (Option A):
Use Experience Builder to include the Provider Search Lightning Web Component on a public-facing page of the Experience Cloud site.
Steps:
Navigate to Experience Builder.
Drag and drop the Provider Search component onto a designated page.
Publish the site to make the component available to external users.
Grant Read Access to the Care Provider Searchable Field Object (Option C):
External users must have appropriate permissions to view the provider search results.
Steps:
Go to Setup > Profiles.
Edit the site user profile associated with the Experience Cloud site.
Grant Read access to the Care Provider Searchable Field object.
Save and assign the profile to the relevant users.
Additional Notes:
Sharing Rules (Not Necessary): Sharing rules are not required if the external user profile already has sufficient object-level access.
Data Pipeline Object (Not Relevant): The Data Pipeline object is not directly involved in enabling Provider Search functionality for external users.
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?
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.
