Health Cloud Accredited Professional Exam Questions PDF download

QUESTION: 17

A pharma company wants to leverage Provider Search to help patients find nearby infusion clinics.

Which Health Cloud tool should a consultant leverage to drive performance and scalability?

Pipeline Analytics
Data Processing Engine
Business Rules Engine
Flow for Industries

Answer(s): B

Explanation:

Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference

Provider Search and Performance:

The Data Processing Engine (DPE) in Health Cloud enables fast, scalable searches across large provider directories. It is specifically designed for performance and scalability in Provider Search scenarios.

Extract:

"Health Cloud leverages the Data Processing Engine to deliver scalable, high-performance Provider Search for finding care locations and providers based on patient preferences and proximity."

-- Health Cloud: Provider Search

Other Options:

Pipeline Analytics: Used for data insights, not real-time search.

Business Rules Engine: Handles rules/logic, not high-volume search.

Flow for Industries: Automates processes, but DPE is the correct scalable search tool.

Reference:

Health Cloud: Provider Search

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QUESTION: 18

Bloomington Caregivers is looking to streamline the user experience for its call center agents. On the patient's record, the company wants the ability to:

Inform agents about changes in information

View basic details about a patient's insurance

Have a complete view of all engagement interactions in one place

Which three components from Contact Center for Health Cloud should a consultant use to achieve this?

Identity Verification
Record Alerts
Timeline
Action Launcher
Member Plan FlexCard

Answer(s): B,C,E

Explanation:

Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference

Record Alerts:

Notify agents of important or recent changes in patient information.

Extract:

"Use Record Alerts to keep agents informed of changes and critical updates on the patient's record."

-- Contact Center for Health Cloud Overview

Timeline:

Provides a single, unified view of all engagement interactions, encounters, and activities with a patient.

Extract:

"Timeline shows a consolidated history of patient interactions and engagement, giving agents a complete view in one place."

-- Health Cloud: Enhanced Timeline

Member Plan FlexCard:

Displays key patient insurance information directly on the record page.

Extract:

"The Member Plan FlexCard displays essential details about the patient's insurance coverage for agents."

-- OmniStudio: FlexCards

Other Options:

A . Identity Verification: Used for verifying caller identity, not information display.

D . Action Launcher: Launches actions/processes, not for displaying info or alerts.

Reference:

Contact Center for Health Cloud Overview

Health Cloud: Enhanced Timeline

OmniStudio: FlexCards

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QUESTION: 19

Bloomington Caregivers would like to bulk upload information to support Provider Search and Provider Relationship Card.

What are the two best practice recommendations to upload this information?

Choose 2 answers

Use Data Loader.
Use Composite API Request.
Use Provider Relationship API.
Use Provider Card APIL.

Answer(s): A,B

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QUESTION: 20

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?

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

Answer(s): C

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QUESTION: 21

Bloomington Caregivers has reviewed the functionality of Integrated Care Management and decided to upgrade from the legacy Care Plans.

Which two statements are true with respect to Integrated Care Management?

Choose 2 answers

Existing Care Plan Template records built in the legacy process can be used in the Integrated Care Management process; no data migration is required.
Integrated Care Management is only made available by enabling the Enhanced Care Management setting in Salesforce Setup.
Integrated Care Management uses a standard object CarePlan; the Case object is no longer used.
Integrated Care Management leverages OmniStudio and the Discovery Framework to provide recommendations for what to add to a care plan based on the assessment.

Answer(s): B,D

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QUESTION: 22

A payer needs to work with plan members and medical providers to influence decisions through a case-by-case review of the appropriateness of care.

When gathering requirements for this use case, which two Utilization Management processes should a consultant discuss with the client?

Choose 2 answers

Designing Next Best Action and Recommendations for the care management team
Considering the Request Review Types; Prior Authorization Review, Concurrent Review, and Retrospective Review
Considering the number of intake agents who will be using Health Cloud
Designing Care Requests to seek authorization from a health plan for drugs, services, and admissions

Answer(s): B,D

Explanation:

Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference

Request Review Types:

Utilization Management processes center around reviewing requests for appropriateness of care, with the three main types being Prior Authorization Review, Concurrent Review, and Retrospective Review.

Extract:

"Utilization Management supports prior authorization, concurrent, and retrospective reviews to evaluate care appropriateness case by case."

-- Utilization Management in Health Cloud

Care Requests:

Care Requests are the mechanism for providers to seek authorization from payers for drugs, services, or admissions.

Extract:

"Design care request processes to support providers seeking health plan authorization for services, medications, or admissions."

-- Health Cloud Utilization Management Data Model

Why not the other options?

A: Next Best Action is more for care management recommendations, not utilization review.

C: Intake agent count is an operational consideration, not a UM process.

Reference:

Utilization Management Overview

Utilization Management Data Model

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QUESTION: 23

A clinic is looking to manage its associated physicians within Health Cloud.

Which two objects support Salesforce's recommended approach to model the doctors in the clinic's Health Cloud org?

Choose 2 answers

Contact
Person Account
Healthcare Practitioner
Healthcare Provider

Answer(s): C,D

Explanation:

Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference

Healthcare Practitioner and Healthcare Provider Objects:

Salesforce recommends using the Healthcare Practitioner object for modeling individual doctors and the Healthcare Provider object for organizations/facilities.

Extract:

"Model physicians using the Healthcare Practitioner object and relate them to organizations or facilities using the Healthcare Provider object."

-- Provider Network Management Data Model

Other Options:

A . Contact and B. Person Account are not the recommended approach for modeling licensed clinical professionals in the Health Cloud provider data model.

Reference:

Provider Network Management Data Model

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QUESTION: 24

When implementing Provider Search functionality, which two changes allow an external user to access search results?

Choose 2 answers

Use Experience Builder to add the Provider Search component to a page on the site.
Create a sharing rule on the Care Provider Searchable Field object to share with external users.
Give the site user profile Read access to the Care Provider Searchable Field object.
Give the site user profile Read access to the Data Pipeline object.

Answer(s): A,C

Explanation:

Comprehensive Detailed Step by Step Explanation with exact Extracts from Salesforce Health Cloud documents that you have with Reference

Experience Builder and Component Access:

Add the Provider Search component to the Experience Cloud site page for external user access.

Extract:

"Use Experience Builder to add Provider Search components to your site to enable external users to search for providers."

-- Provider Search in Experience Cloud

Read Access:

Granting Read access to the Care Provider Searchable Field object is required for site users to access search results.

Extract:

"Grant the site user profile Read access to the Care Provider Searchable Field object to allow them to view provider search results."

-- Provider Search Security

Other Options:

B: Sharing rules not typically required; object-level access is key.

D: Data Pipeline object access is not relevant for provider search results.

Reference:

Provider Search in Experience Cloud

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Salesforce Health Cloud Accredited Professional AP-211 Exam Questions in PDF

Free Salesforce AP-211 Dumps Questions (page: 14)

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