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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?
To enable Bloomington Caregivers to offer remote monitoring and integrate patient device data into Salesforce Health Cloud, an administrator should configure the following records:
Units of Measure:
Purpose: Define the measurement units for various health metrics (e.g., kilograms for weight, mmHg for blood pressure).
Configuration: Create records in the UnitOfMeasure object to standardize how data from patient devices is interpreted and displayed.
Remote Monitoring Device Types:
Purpose: Catalog the types of devices patients use for remote monitoring (e.g., glucometers, heart rate monitors).
Configuration: Define device types to manage and organize incoming data effectively.
Care Observations:
Purpose: Record and store the health metrics and observations collected from patient devices.
Configuration: Utilize the CareObservation object to capture data such as blood glucose readings or heart rate measurements.
Code Sets:
Purpose: Standardize the types of health metrics being monitored (e.g., defining what constitutes a blood glucose measurement).
Configuration: Create code sets to ensure consistency in data categorization and reporting.
Implementation Steps:
Set Up Remote Monitoring in Health Cloud:
Navigate to Health Cloud settings to configure remote monitoring features.
Create code sets for each health metric to be monitored.
Define units of measure corresponding to these code sets.
Establish care observations to capture and store incoming data.
Configure remote monitoring device types to manage various patient devices.
By setting up these records, Bloomington Caregivers can effectively implement remote monitoring, allowing seamless integration of patient device data into Health Cloud. This setup facilitates real-time health data tracking, enhancing patient care and engagement.
Bloomington Caregivers wants to ensure it maintains the privacy of its users' data by enabling data protection details for leads, contacts, and person accounts during the initial Health Cloud install and configuration.
Which entity should the administrator enable within Data Protection and Privacy for Health Cloud to work in this scenario?
To ensure data privacy and protection for leads, contacts, and person accounts during the initial setup of Health Cloud, the administrator should enable Data Protection and Privacy at the object level. This configuration allows Health Cloud to manage privacy-related fields and processes for these entities.
Key Features:
Object-Level Privacy Settings: Enables data protection measures such as tracking consent and managing privacy preferences.
Applicable Entities: Specifically supports leads, contacts, and person accounts, aligning with patient data management needs.
Compliance: Ensures compliance with regulations like HIPAA by embedding privacy measures into the core data model.
Why Other Options Are Incorrect:
A . Fields: Field-level protection alone does not enable comprehensive privacy management for leads, contacts, and person accounts.
C . Tasks: Task privacy is not relevant for this scenario.
D . Records: While data protection applies to records, configuration is done at the object level for consistency across entities.
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.
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
Utilization Management is a critical component in healthcare that focuses on ensuring the appropriateness, necessity, and efficiency of healthcare services. For payers working with plan members and medical providers, the case-by-case review of care appropriateness requires thorough processes to streamline authorization and review tasks.
Designing Care Requests to Seek Authorization (Answer B):
Purpose: The Care Request object in Health Cloud is essential for seeking authorizations from a health plan for specific healthcare services, drugs, or admissions. This object ensures that requests are appropriately documented and tracked.
Functionality:
It allows users to create and manage care requests linked to plan members.
Integrates with payer systems to capture critical details for authorization, such as service codes, plan information, and medical necessity documentation.
Supports automation through workflows and approvals, speeding up the decision-making process.
Relevance: By designing efficient Care Requests, the consultant ensures that all required details for preauthorizations or service reviews are captured seamlessly, meeting regulatory and operational needs.
Considering Request Review Types (Answer C):
Purpose: UM processes in Health Cloud must address the three primary types of reviews:
Prior Authorization Review: Conducted before the service is provided to determine medical necessity.
Concurrent Review: Evaluates the necessity of ongoing care during hospitalization or service delivery.
Retrospective Review: Analyzes the appropriateness of care after it has been delivered.
Implementation in Health Cloud:
The consultant must design workflows and data models to capture the details of these review types, including timestamps, reviewer notes, and outcomes.
Health Cloud supports tracking and documenting these reviews within the UM module, ensuring compliance with healthcare regulations.
Relevance: These review types allow the payer to influence decisions by ensuring appropriate care is provided while managing costs and maintaining high-quality outcomes.
Why the Other Options Are Less Relevant:
A . Designing Next Best Action and Recommendations for the Care Management Team: While recommendations and next-best-action features are beneficial for care management, they are not directly tied to the case-by-case review process of Utilization Management, which focuses more on care appropriateness and authorizations.
D . Considering the Number of Intake Agents Using Health Cloud: While operational considerations like staffing are important, this is not a Utilization Management process. It's a broader organizational concern unrelated to the core functionality of UM in Health Cloud.
By addressing Care Requests and Request Review Types, the consultant ensures a robust Utilization Management setup, enabling effective collaboration between payers, providers, and members while optimizing care delivery and compliance.
A new user story requires an OmniScript to update an existing field on a custom SObject.
Which two components should a consultant use to satisfy the requirement?
Choose 2 answers
To update an existing field on a custom SObject using OmniScript, the following components are essential:
DataRaptors (C):
DataRaptors are used to read, write, or transform Salesforce data.
In this case, a DataRaptor Load would be configured to update the field on the custom SObject.
Integration Procedures (D):
Integration Procedures orchestrate data operations and can combine multiple DataRaptors or external API calls.
Used to call the DataRaptor Load and manage complex logic if needed.
Why Other Options Are Incorrect:
API Actions: Primarily used for invoking external APIs, not for internal Salesforce data operations.
SOQL Query: Retrieves data from Salesforce but does not update fields.
