Health-Cloud-Accredited-Professional Practice Test Questions

Explanation:

This answer directly and comprehensively addresses all three requirements from the compliance department:

Encryption at Rest: Salesforce Shield is a suite of premium security features that includes Platform Encryption. This feature provides encryption of sensitive data at rest (as it is stored in the database) and in transit, meeting the most stringent compliance requirements without disrupting standard functionality.
Notification of Activities: Event Monitoring (a component of Salesforce Shield) provides detailed logs of user activity (logins, logouts, report exports, record views, etc.). This data can be used to set up alerts and notifications for specific activities that may be of interest to the compliance team (e.g., a user exporting a large report of sensitive data).
Extensive Field Tracking: While Field History Tracking is standard, Field Audit Trail (another component of Salesforce Shield) provides a far more extensive and immutable audit trail. It captures up to 10 years of historical data on field changes and allows you to see the before-and-after values of encrypted fields, which standard field history cannot do.

Additionally, Data Classification helps identify and tag which fields contain sensitive data (like PII, PHI, PCI), which is a critical first step for applying the appropriate level of security controls like encryption.

Why the other options are incorrect:
A. Use Role Hierarchy... password policies... IP Restrictions: These are all excellent general security practices. However, they do not specifically address the core requirements:
Role Hierarchy controls data access, not encryption at rest.
Password policies and IP restrictions are about authentication and network access, not about auditing activities or encrypting stored data.
C. Enable Field Audit Trail, implement encryption... two-factor authentication: This is a strong contender but is incomplete and slightly misaligned.
It correctly identifies Field Audit Trail (from Shield) for extensive tracking and encryption.
However, it suggests "implement encryption," but the recommended practice for robust, native encryption at rest is specifically to enable Salesforce Shield.
Two-factor authentication is crucial for login security but does not fulfill the "notification of activities" requirement. Event Monitoring is the specific tool for that.
D. Use Salesforce Security Health Check... custom profiles... Data Loss Prevention (DLP):
The Security Health Check is a great tool for identifying gaps but is not a control itself.
Custom profiles and permission sets are fundamental for access control but do not provide encryption or detailed activity logging.
Data Loss Prevention (DLP) policies are for monitoring and restricting data in outbound emails and files, not for internal field tracking, encryption, or user activity notifications. This is a common distractor.

Reference:
Salesforce Help: What Is Salesforce Shield?
Salesforce Help: Monitor User Activity with Event Monitoring
Salesforce Help: Field Audit Trail

Explanation:

OmniStudio Document Generation is a key feature of the Salesforce Industries platform, which includes Health Cloud. It is specifically designed to create personalized documents by merging data from Salesforce records into pre-built Microsoft Word or PowerPoint templates. This tool is perfect for the scenario described because it allows a patient advocate to:

Select from a library of templates (e.g., a post-visit summary template).
Automatically populate the template with patient-specific data from Salesforce (e.g., visit details, care plan goals, and medication information).
Generate the final document, often as a PDF, for easy sharing with the patient.

The entire process is driven by OmniStudio components, such as OmniScripts and DataRaptors, which guide the user through a seamless, automated workflow.

Why the Other Options Are Incorrect
A. Salesforce PDF Generator:
There is no standard, out-of-the-box product in Salesforce named "Salesforce PDF Generator" that has the full, robust functionality required for this task. While Salesforce can generate a PDF from a Quote object, it lacks the advanced templating and data-merging capabilities needed to create a personalized post-visit summary from a variety of related records. For this type of complex document generation, you need a specialized tool.

C. Health Cloud Email Manager:
This is not a standard Salesforce or Health Cloud product. While Health Cloud facilitates sending emails and has features for patient engagement, it does not include a dedicated "Email Manager" tool for generating documents from templates. The document generation and email sending are separate functionalities.

D. Contract Lifecycle Management:
Contract Lifecycle Management (CLM) is a specific solution, often part of Salesforce Industries, that is focused on managing the entire lifecycle of legal agreements and contracts. While CLM does include document generation features, its purpose is to handle contracts (e.g., non-disclosure agreements, service agreements), not to create general post-visit summaries and care plan documents for patients. The scope of CLM is too narrow for this use case.

Explanation:

✅ A. Contact - In Salesforce Health Cloud, Providers are typically represented as Contacts with a specific record type or field designation to identify them as healthcare providers.

✅ B. Healthcare Practitioner Facility - This is a standard Health Cloud object that tracks the relationship between healthcare providers (practitioners) and the facilities where they work.

✅ E. Healthcare Provider - This is a standard Health Cloud object that represents healthcare providers and their professional details.

The other options are incorrect because:

❌C. Lead is used for potential customers, not established providers
❌D. Case is used for tracking patient issues or service requests, not provider relationships

Explanation:

Salesforce Health Cloud’s Social Determinants feature is designed to give providers a holistic view of patients, especially regarding non-clinical factors that impact health outcomes. Here's how each correct option fits:
A. Integrate services like transportation and meal delivery: Providers can create tasks and interventions directly within Health Cloud to connect patients with services such as food delivery, transportation, or housing support. These services are linked to specific barriers identified during assessments.
B. Track determinants and barriers to care: Health Cloud allows users to capture and categorize social and environmental challenges—such as food insecurity, lack of transportation, or unemployment—using barrier records and determinant types2.
E. Plan interventions to address barriers: Once barriers are identified, care coordinators can assign tasks and interventions to mitigate them. For example, scheduling a ride service for a patient who struggles to attend appointments.

❌ Why the other options are incorrect:
C. Automatically import credit scores and income information: Health Cloud does not automatically pull financial data like credit scores. Sensitive financial data must be manually entered and handled with strict privacy controls.
D. Track the influence of the social network: While Health Cloud supports relationship mapping (e.g., household members, caregivers), it does not analyze or track the influence of a patient’s social network on health outcomes in a predictive or behavioral sense.

Explanation:

In Salesforce Health Cloud, patient referrals are primarily tracked using the Care Request object. This object is designed to manage requests for services, including referrals, prior authorizations, and other care-related processes. It captures details such as the referral source, destination, status, and associated patient information, making it the central object for referral tracking.

Why the other options are incorrect:
A. Lead: The Lead object is used in Salesforce for tracking potential customers or sales opportunities, not for managing patient referrals in a healthcare context. It is not suitable for clinical workflows like referrals.
C. Care Program Enrollee: This object tracks patients enrolled in specific care programs (e.g., chronic disease management programs). While it may be related to a patient’s care journey, it is not used to manage the referral process itself.
D. Cases: The Case object is used for tracking support or service requests, such as patient inquiries or issues. While cases can be used in some healthcare workflows, they are not the primary object for tracking patient referrals in Health Cloud.

Reference:
Salesforce Health Cloud documentation specifies the Care Request object as the core component for managing patient referrals, including details like referral status and associated providers (see help.salesforce.com, Health Cloud Data Model: Care Request).
The Health Cloud Implementation Guide highlights the use of Care Request for referral management workflows, including integration with reports and dashboards for tracking.

Explanation

The payer wants to:

Recruit providers → Finding and contracting new physicians, clinics, or hospitals.
Credential providers → Verifying qualifications, licenses, certifications.
Onboard providers → Adding them into the network directory and making them available for members.

These are core features of Health Cloud’s Provider Network Management (PNM) add-on.

Why not the others?
B. Contact Center for Payers → Focuses on member services & call center experiences, not provider onboarding.
C. Provider Relationship Management → Helps manage ongoing provider relationships, communications, and satisfaction, but not credentialing & onboarding.
D. Utilization Management → Handles care requests, prior authorizations, and approvals, not provider network build-out.

Reference:
Salesforce Health Cloud Implementation Guide → Provider Network Management
Salesforce Help: Provider Network Management Overview

✅ The Health Cloud add-on that helps with provider recruitment, credentialing, and onboarding is: Provider Network Management (PNM).

Explanation:

To streamline the process of registering patients to care programs while capturing their consent using out-of-the-box features in Salesforce Health Cloud, Bloomington Caregivers should leverage the Program Enrollment Flow. This feature is designed to facilitate the enrollment of patients into care programs and includes built-in capabilities to capture patient consent, create care plans, and select applicable program products, aligning perfectly with the company’s requirements.

Here’s why the other options are less appropriate:
A. Care Plan Enrollment Flow:
This is not a standard feature in Health Cloud. While care plans are part of patient management, the Program Enrollment Flow is the specific out-of-the-box feature for enrolling patients in programs and capturing consent.
C. Enrollment Consent OmniScript:
While OmniScripts can be used to create guided processes, there is no specific out-of-the-box “Enrollment Consent OmniScript” in Health Cloud tailored for program enrollment and consent capture. The Program Enrollment Flow already includes consent capture as a native feature.
D. Program Eligibility OmniScript:
This option focuses on determining patient eligibility for programs, often using predefined criteria or rules. It does not encompass the full process of registering patients and capturing consent, which is handled by the Program Enrollment Flow.

Reference:
Salesforce Health Cloud documentation highlights the Program Enrollment Flow as an out-of-the-box feature that streamlines patient enrollment into care programs, including steps for capturing consent and creating care plans (see help.salesforce.com, Health Cloud Program Management).
The Health Cloud Implementation Guide details how the Program Enrollment Flow supports guided processes for program registration and consent management without requiring extensive customization.

Explanation:

The Care Program enrollment process in Health Cloud is built on Salesforce's powerful Lightning Flow technology. Administrators have two primary paths for configuration, both of which start with the out-of-the-box (OOTB) template:

D. Use the provided enrollment flow out of the box:
Salesforce provides a fully functional, pre-built enrollment flow. An administrator can choose to use this default flow without any modifications if it meets the organization's basic requirements. This is the fastest way to enable the feature.
E. Customize the out of the box enrollment flow template to match requirements:
This is the most common and powerful approach. The OOTB flow is provided as a template. Administrators can clone this template, open it in Flow Builder, and customize it extensively to add, remove, or modify steps. This allows them to tailor the enrollment process to collect specific data, automate steps, or integrate with external systems as needed.
These two options represent the standard "use as-is" or "customize" approach that Salesforce provides for its pre-built automation components.

Why the other options are incorrect:
A. Customize the provider site flow:
This refers to Experience Cloud sites for providers, which is a separate functionality. It is not the flow used for enrolling a patient into a Care Program from within the internal Health Cloud application.
B. Customize the care coordinator flow for patient:
This is a misnomer and a distractor. While a care coordinator uses the enrollment flow, the flow itself is not named "care coordinator flow." The correct item to customize is the specific "Enroll in Program" flow or its underlying template.
C. Use the patient approval flow:
There is no standard flow with this name for Care Program enrollment. Enrollment is typically an action taken by a care team member. While approvals could be added as a step through customization (option E), it is not a provided, standalone flow for this purpose.

Reference:
Salesforce Help: Customize the Care Program Enrollment Flow
This documentation explicitly states: "You can use the flow as is, or you can save a copy of it and customize the copy to match your business processes." This directly confirms options D and E.

Explanation:

CRM Analytics for Health Cloud (formerly known as Tableau CRM) provides advanced reporting and visualization capabilities tailored for healthcare use cases. For organizations like Bloomington Caregivers, it enables:
📊 Care Plan Adherence Dashboards: Visualize overdue tasks, goals, and patient risk profiles across facilities.
🎯 Risk Stratification: Identify high-risk patients who are falling behind on care plans and prioritize interventions.
📈 Predictive Insights: Use Einstein Discovery stories to forecast adherence trends and improve patient engagement.
These dashboards are prebuilt and customizable, giving care coordinators actionable insights to improve outcomes and reduce readmissions.

❌ Why the other options don’t fit:
A. Care Management Extension
Enhances care coordination workflows but does not extend reporting capabilities.
C. Insights for Health Cloud
Focuses on patient segmentation and engagement, not detailed care plan adherence reporting.
D. Reporting unmanaged package
Offers basic reporting templates but lacks the depth, visualization, and predictive power of CRM Analytics.
You can explore the Care Performance Analytics Dashboards for a deeper dive into how CRM Analytics supports care plan adherence monitoring.

You can explore the Care Performance Analytics Dashboards for a deeper dive into how CRM Analytics supports care plan adherence monitoring.

Explanation:

To meet the pharma company’s requirements for tracking insurance details in Salesforce Health Cloud, the consultant should implement the following set of objects: Account, Purchaser Plan, Plan Benefit, and Member Plan. These objects align with the Health Cloud data model for managing payer-related information and patient insurance details. Below is a breakdown of how each object addresses the requirements:

Account: This object is used to represent the payer organizations (e.g., insurance companies). Each payer is stored as an Account record, allowing the company to maintain a list of all payer organizations.
Purchaser Plan: This object represents the insurance plans offered by a given payer. It captures details about the plans provided by the payer (Account), such as plan names and types.
Plan Benefit: This object tracks the standard benefits available under a plan. It defines the coverage details, such as copays, deductibles, or services covered, associated with a specific Purchaser Plan.
Member Plan: This object links a specific patient to their enrolled plan and specific insurance details. It captures patient-specific insurance information, such as enrollment status, member ID, and coverage specifics.

Why the other options are incorrect:
A. Account, Purchaser Plan, Member Benefit, Insurance Plan:
Member Benefit is not a standard Health Cloud object. Benefits are tracked using Plan Benefit for standard plan-level benefits, not member-specific benefits.
Insurance Plan is also not a standard object in Health Cloud; Purchaser Plan is the correct object for representing insurance plans.
B. Purchaser, Insurance Plan, Insurance Benefit, Plan Detail:
Purchaser is not a standard object; payers are represented as Accounts.
Insurance Plan and Insurance Benefit are not standard Health Cloud objects; Purchaser Plan and Plan Benefit are used instead.
Plan Detail is not a standard object for tracking insurance details in Health Cloud.
D. Payer, Plan Offering, Coverage Benefit, Member Plan:
Payer is not a standard object; payers are stored as Accounts.
Plan Offering and Coverage Benefit are not standard Health Cloud objects; Purchaser Plan and Plan Benefit are the correct objects for plans and benefits.

Reference:
Salesforce Health Cloud Data Model documentation outlines the use of Account for payers, Purchaser Plan for insurance plans, Plan Benefit for standard benefits, and Member Plan for patient-specific insurance details (see help.salesforce.com, Health Cloud Data Model: Payer Management).
The Health Cloud Implementation Guide for Payers confirms these objects as part of the standard data model for tracking insurance-related information (Health Cloud for Payers).