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A payer needs to implement a program to address the rising healthcare expenses and ensure affordable care for its members. The payer aims to strike a balance between quality care and managing the cost of care effectively by streamlining its approval processes for care requests. Which capability in Health Cloud helps the payer accomplish this?
A. Provider Network Management
B. Intelligent Appointment Management
C. Utilization Management
D. Integrated Care Management
Explanation:
Utilization Management is the capability in Health Cloud that helps the payer accomplish its goal of balancing quality care and managing the cost of care effectively. It enables the payer to streamline its approval processes for care requests using predefined rules and workflows.
Bloomington Caregivers has configured the Provider Network Management add-on license. Some of the users are reporting that they are unable to access some of the new functionality. Which two permission sets should an administrator ensure are assigned so the users can access Provider Network Management?
A. Health Cloud Standard permission set
B. Provider Network Management permission set
C. Health Cloud Utilization Management permission set
D. Health Cloud Foundation permission set
Explanation:
The two permission sets that an administrator should ensure are assigned so the users can access Provider Network Management are Health Cloud Standard permission set and Provider Network Management permission set. Health Cloud Standard permission set grants users access to Health Cloud features, such as Care Team, Care Plan, Timeline, etc. Provider Network Management permission set grants users access to Provider Network Management features, such as Provider Search, Provider Relationship Card, etc.
Which three statement are true about a Care Program? (Choose 3)
A. A Patient can be enrolled in multiple care programs at the same time.
B. A Patient cannot be enrolled in the same care program more than once.
C. More than 500 patients can be enrolled in a care program in a single request using the Care Program Enrollment.
D. CareProgramEnrollee represents the participant enrolled in a care program
E. A patient can be enrolled in the same care program more than once.
A customer wants to view a patient's health conditions and clinical encounters as a sequence patient's Person Account page. What should a consultant do to achieve this using the Enhanced Timeline functionality?
A. Clone the HCTimeline FlexCard for customization.
B. Add a record to the HealthCloudTimelineConfig custom setting.
C. Create a new Timeline View Configuration record.
D. Create a new Timeline record within Setup.
Explanation:
To use the Enhanced Timeline functionality, a consultant needs to create a new Timeline View Configuration record and specify the object, fields, and filters for the timeline view. This allows the customer to view a patient’s health conditions and clinical encounters as a sequence on the patient’s Person Account page. Cloning the HCTimeline FlexCard, adding a record to the HealthCloudTimelineConfig custom setting, or creating a new Timeline record within Setup are not required for this functionality1.
A customer wants to move its existing Patient-Reported Outcome Measures (PROMs) surveys to Health Cloud. It requires a solution that allows for question banks and version control for this standardized survey. Which solution should a consultant recommend?
A. Salesforce Feedback Management
B. Health Cloud Forms
C. Discovery Framework
D. Salesforce Surveys
Explanation:
Salesforce Surveys is the best solution for moving existing PROMs surveys to Health Cloud. It allows for question banks and version control for this standardized survey.
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