Salesforce Health Cloud Accredited Professional Exam Questions

For a payer implementing Health Cloud, leveraging predefined rules for prior authorization reviews can significantly improve efficiency and speed. Salesforce Health Cloud provides Expression Set Templates as an out-of-the-box feature to achieve this.

Key Features of Expression Set Templates:

Predefined Rules:

Expression Set Templates come with prebuilt rule sets that can evaluate conditions, making them ideal for automating prior authorization request reviews.

Customizable Logic:

While they provide predefined logic, templates can also be customized to align with specific payer policies or regulatory requirements.

Faster Implementation:

Using out-of-the-box templates accelerates time-to-value, as they require minimal configuration compared to building rules from scratch.

Why Other Options Are Less Suitable:

A . Integration Procedures: Focuses on data integration and server-side processing but does not address predefined rules for authorization reviews.

C . FlexCards: Provides UI components for displaying information but does not support rule evaluation.

D . OmniScript Templates: Useful for guided workflows but not specifically for predefined rule management.

Expression Sets in Salesforce Health Cloud

To address the use case of creating a UI component for a MedTech company that displays customer data, allows initiating a new order process, and displays available products for purchase, the following OmniStudio capabilities are required:

1. Integration Procedures:

Purpose: Integration Procedures handle server-side logic by connecting with external systems, databases, or Salesforce objects to fetch or update data efficiently.

Role in Use Case: The new order process will likely require data from external systems, such as a product catalog or inventory system. Integration Procedures are ideal for orchestrating these back-end calls and consolidating data to display product availability or order information.

Key Features:

Perform complex, multi-step actions in a single server call.

Fetch data asynchronously, improving UI performance.

2. FlexCards:

Purpose: FlexCards are lightweight, reusable UI components that display contextual information on a single screen. They can include links, buttons, and embedded actions.

Role in Use Case: The UI component displaying customer data and providing the link to create a new order is best implemented as a FlexCard.

Key Features:

Can display data fetched via DataRaptors or Integration Procedures.

Easily customizable to match the desired layout and functionality.

3. OmniScript:

Purpose: OmniScripts guide users through multi-step processes with dynamic forms and workflows, integrating seamlessly with FlexCards and Integration Procedures.

Role in Use Case: When the link on the FlexCard is clicked, the OmniScript starts the process to build a new order and display available products. This ensures an intuitive and structured user experience for completing complex processes.

Key Features:

Drag-and-drop UI for creating guided workflows.

Can call Integration Procedures to fetch product details or submit the order.

Capabilities Not Required for This Use Case:

D . DataRaptors: While DataRaptors are crucial for basic data fetch/update operations, the described use case involves orchestrating multiple steps and external system integrations, making Integration Procedures more suitable.

E . Document Generation: This feature is used for generating PDFs or documents, which is not relevant to the process of building a UI component for order creation.

Summary of Implementation:

FlexCards display customer data and include a clickable link to start the new order process.

OmniScript handles the guided workflow to create the order and fetch available products.

Integration Procedures facilitate the server-side logic for fetching products and submitting the order.

OmniStudio Documentation

OmniScript Best Practices

FlexCards for Contextual UI

To enable an external provider to retrieve a patient's allergy information from Bloomington Caregivers' Health Cloud system, the Clinical Summary Healthcare API is the appropriate choice. This API facilitates access to clinical data, including allergies, in a standardized format.

Understanding the Clinical Summary Healthcare API:

Purpose: Provides endpoints to access a patient's clinical summary, encompassing various health records such as conditions, procedures, and allergies.

FHIR Compliance: Aligns with the Fast Healthcare Interoperability Resources (FHIR) standards, ensuring compatibility with other healthcare systems and promoting interoperability.

Retrieving Allergy Information:

Endpoint: To fetch a patient's allergy records, utilize the following endpoint:

GET /clinical-summary/fhir-r4/v1/AllergyIntolerance

Parameters:

Patient ID: Specify the unique identifier of the patient whose allergy information is being requested.

Advanced Therapy Management (ATM) in Salesforce Health Cloud is specifically designed to support complex workflows and scheduling requirements, particularly for therapies involving multiple interdependent appointments. For a gene therapy program, ATM provides these features:

Key Scheduling Capabilities of ATM:

Reschedule Part of the Appointment Chain (Option A):

In complex workflows where multiple steps are involved (e.g., collection, processing, infusion), ATM allows administrators to reschedule individual appointments within the chain without disrupting the entire workflow.

This flexibility is crucial for accommodating unexpected delays or changes in the therapy process.

Book Multi-Step Appointments (Option B):

ATM supports the scheduling of interdependent, multi-step appointments that are a common feature of advanced therapies such as gene therapy.

For example, steps like apheresis, manufacturing, and infusion can be scheduled in sequence, ensuring coordination across various stakeholders.

Other Options:

Optimize Appointment Chain with Einstein (Option C):

While optimization using Einstein is a broader Salesforce capability, it is not directly tied to Advanced Therapy Management's out-of-the-box scheduling features.

Schedule a Telehealth Appointment (Option D):

Telehealth appointments are not the focus of ATM, which is designed for in-person and complex therapy workflows.

Advanced Therapy Management Overview

Scheduling in Advanced Therapy Management

The FHIR R4 (Fast Healthcare Interoperability Resources) standard is the most suitable industry data standard for designing interoperability with Electronic Health Record (EHR) systems in Salesforce Health Cloud.

Why FHIR R4?

Widespread Adoption:

FHIR R4 is the industry standard for modern EHR systems, supported by regulatory bodies like the ONC (Office of the National Coordinator for Health IT).

Compatibility:

Salesforce Health Cloud's Clinical Data Model and FHIR-compliant APIs are built to align with FHIR R4 standards.

Data Interoperability:

Facilitates seamless exchange of clinical data (e.g., medications, conditions, and encounters) between Health Cloud and EHR systems.

Why Other Options Are Less Relevant:

A . Clinical Data Acquisition: A generic concept rather than a specific standard.

B . Personal Health Record (PHR): Focuses on patient-controlled data, not interoperability.

C . HL7 v1 Messaging: An outdated standard superseded by FHIR for modern systems.

Salesforce FHIR Integration Guide