Health-Cloud-Accredited-Professional Questions and Answers

Bloomington Caregivers is transitioning from the legacy Health Cloud Electronic Health Record (EHR) data model to the FHIR R4-aligned Clinical Data Model. This migration enhances interoperability and aligns with current healthcare data standards. The following steps are essential for a successful transition:

Utilize the Health Cloud Clinical Transition Tool (Answer A):

Purpose: Salesforce provides the Health Cloud Clinical Transition tool to facilitate the migration from the legacy EHR data model to the FHIR R4-aligned Clinical Data Model.

Functionality: This tool automates the migration process by mapping legacy EHR objects to their corresponding FHIR R4-aligned Clinical Data Model objects, ensuring data integrity and consistency.

Implementation Steps:

Preparation: Review existing data to identify the scope of migration and ensure data quality.

Execution: Run the Clinical Transition tool to perform the automated mapping and data migration.

Validation: Verify the migrated data to ensure accuracy and completeness.

In Salesforce Health Cloud, Person Accounts represent a combination of Account and Contact records. Ensuring that a user accessing a Person Account has appropriate access to both the Account and associated Contact is essential for seamless functionality.

Controlled by Parent Setting:

When Contacts are set to Controlled by Parent, the access to Contact records is directly inherited from the parent Account. This simplifies access management, ensuring that if a user has access to the Account, they automatically gain equivalent access to its associated Contact records.

This approach aligns with Health Cloud's best practices for managing Person Accounts, where consistent access to both the Account and Contact components of a Person Account is crucial.

Why Not the Other Options?

A. Set Modify All on the Account object at the Profile level: This grants unrestricted access to all Account records, which may violate security and privacy principles, particularly in healthcare settings (e.g., HIPAA compliance).

B. Set Private for the Contact object: Setting Contacts to Private could restrict access to essential information within Person Accounts, contradicting the need for full access to the entire record.

D. Set the organization-wide default to Public Read Write for the Account object: This would expose all Account records to all users, creating significant data security risks.

Best Practice: Using Controlled by Parent ensures adherence to healthcare compliance standards while simplifying data visibility management within the Health Cloud ecosystem.

References:

Salesforce Security Guide

Health Cloud Person Account Best Practices

For implementing a Contact Center leveraging Health Cloud, identifying pain points and defining project requirements involves collaborating with:

Contact Center Agent (Persona):

Frontline staff who interact directly with patients.

Provide insights into the day-to-day challenges in appointment scheduling, billing inquiries, and plan updates.

Salesforce Administrator (Stakeholder):

Responsible for configuring Health Cloud and implementing workflows to address identified pain points.

Integration Architect (Stakeholder):

Ensures smooth integration between Health Cloud and external systems like billing platforms or insurance providers.

Why Other Options Are Incorrect:

A: Care coordinators are not directly involved in patient-initiated contact center interactions. Tableau developers focus on reporting, not operational processes.

C: MuleSoft developers are not primary stakeholders for contact center operations.

D: General physicians and Marketing Cloud administrators do not contribute directly to Contact Center workflows.

References:

Health Cloud Contact Center Overview

Integration Architecture Guide

To enable Assessments in Salesforce Health Cloud, administrators must configure the org appropriately, ensuring that users can effectively utilize assessment tools for patient evaluations. The following steps are essential:

Download and Install OmniStudio (Answer A):

Purpose: OmniStudio provides a suite of declarative tools, including OmniScripts and DataRaptors, essential for building and managing assessments within Health Cloud.

Implementation Steps:

Access Salesforce AppExchange: Navigate to the AppExchange marketplace.

Search for OmniStudio: Locate the OmniStudio package suitable for your Salesforce edition.

Install the Package: Follow the installation prompts, ensuring that all components are correctly deployed.

The Discovery Framework in Salesforce Health Cloud allows for the implementation of dynamic clinical assessments to track patient intake and evaluate their condition. These capabilities streamline the assessment process in hospitals.

Branching:

Provides conditional logic to display specific follow-up questions based on patient responses.

Ensures that only relevant questions are shown, improving efficiency and patient experience.

Question Bank:

Offers a repository of pre-built, reusable questions that can be used across multiple assessments.

Simplifies the creation of new assessments by leveraging existing question sets.

Scoring:

Automatically calculates scores based on patient responses, enabling providers to evaluate risk levels, severity, or outcomes efficiently.

Integrates with care plans to trigger interventions based on assessment results.

A. Image Analysis: While useful in healthcare, this is not a core function of the Discovery Framework.

B. Encrypted Text: Security and encryption are essential but not specific to clinical assessments.

Configure the Discovery Framework in Salesforce Health Cloud to create assessments using the Question Bank.

Apply Branching Logic to streamline the flow of questions during intake.

Enable Scoring to evaluate results and trigger follow-up actions or workflows.

Discovery Framework Overview

Clinical Assessments in Health Cloud

Key Functions of the Discovery Framework:Why Other Options Are Not Applicable:Implementation Steps:References:

The pharma company needs to coordinate complex, multistep processes involved in personalized medicine programs, such as apheresis and infusion. Advanced Therapy Management (ATM) in Salesforce Health Cloud is specifically designed to address such requirements.

Orchestrating Complex Workflows:

ATM enables organizations to manage and automate end-to-end workflows for advanced therapies, including CAR-T cell therapies and other personalized medicine programs.

Tracking Key Steps:

Tracks all critical steps in the patient’s therapy journey, such as cell collection (apheresis), manufacturing, shipping, and infusion back into the patient.

Collaboration Across Stakeholders:

Facilitates real-time communication and collaboration among healthcare providers, manufacturers, and logistics partners.

End-to-End Visibility:

Provides a holistic view of the therapy process, ensuring transparency and reducing delays.

Compliance with Regulations:

Ensures that all data is tracked and managed securely, supporting compliance with healthcare regulations like HIPAA and GDPR.

Patient-Centric Care:

Enables personalized tracking and reporting to deliver better patient outcomes.

Features of Advanced Therapy Management:Benefits for Personalized Medicine Programs:References:

Advanced Therapy Management Overview

Salesforce Health Cloud Use Cases

In Salesforce Health Cloud, to manage prior authorization requests using preconfigured record types and page layouts, the Health Cloud Care Request Extensions package must be installed. This package provides the necessary configurations for handling prior authorizations.

Steps to Install the Health Cloud Care Request Extensions Package:

Access the Package:

Obtain the installation link for the Health Cloud Care Request Extensions package from Salesforce's official resources or through the Salesforce AppExchange.

Install the Package:

Click on the installation link and log in to your Salesforce org.

Follow the installation prompts, selecting the appropriate security settings (e.g., granting access to all users).

Complete the installation process.

Verify Installation:

Navigate to Setup > Installed Packages to confirm that the Health Cloud Care Request Extensions package is listed.

Configure Record Types and Page Layouts:

After installation, the package provides preconfigured record types and page layouts for prior authorizations.

Assign these record types and layouts to the relevant user profiles to ensure accessibility.

Benefits of Installing the Health Cloud Care Request Extensions Package:

Preconfigured Components: The package includes out-of-the-box record types and page layouts tailored for managing prior authorizations, reducing the need for custom development.

Streamlined Processes: Facilitates efficient handling of prior authorization requests, improving operational workflows for payers.

Integration with Health Cloud: Ensures seamless integration with existing Health Cloud functionalities, maintaining data consistency and integrity.

By installing this package, the Salesforce administrator can expedite the implementation of prior authorization management within Health Cloud, leveraging Salesforce's pre-built solutions to meet the organization's needs effectively.

References:

Install Health Cloud Packages

Utilization Management in Health Cloud

The Actionable Relationship Center (ARC) in Salesforce Health Cloud provides a 360-degree view of complex associations between patients, their personal relationships, healthcare practitioners, and organizations. It visually represents these relationships in an interactive graph, helping care coordinators understand and manage these connections effectively.

Key Features of ARC:

Relationship Visualization: Displays all relevant relationships for a patient, including family members, caregivers, and healthcare providers.

Interactive Interface: Users can click on entities to view detailed information and take actions like assigning tasks or sending messages.

Customization: Supports the addition of custom relationship types tailored to the organization’s needs.

Why Other Options Are Incorrect:

Care Team: Focuses on defining and managing members of the care team but does not provide a visual representation of all relationships.

Enhanced Timeline: Tracks patient interactions chronologically but does not map relationships.

Patient Card: Displays patient-specific information but lacks relationship visualization capabilities.

References:

Actionable Relationship Center Overview

To comply with the Children’s Online Privacy Protection Act (COPPA) while implementing Salesforce Health Cloud for managing the data of children under 13, Bloomington Caregivers must consider the following:

Requirement:

COPPA mandates that companies take reasonable measures to secure children’s personal information against unauthorized access or disclosure.

Implementation in Health Cloud:

Use Salesforce’s robust security features, such as Shield Platform Encryption, two-factor authentication, and role-based access controls, to safeguard sensitive data.

Requirement:

Personal data of children must be encrypted during storage (at rest) and transmission (in transit) to prevent unauthorized access.

Implementation in Health Cloud:

Use Salesforce Shield for platform encryption, ensuring compliance with data protection standards.

Enable HTTPS for secure communication channels and encrypt sensitive fields like names, addresses, and medical records.

Requirement:

Organizations must obtain verifiable consent from parents or guardians before collecting or storing any personal information about children under 13.

Implementation in Health Cloud:

Implement custom workflows or forms to capture and log parental consent.

Use audit tracking to document consent for regulatory compliance.

Partner Compliance (Option D):

While ensuring partners adhere to COPPA is important, it is not explicitly required by the healthcare organization itself under COPPA.

Disclosing Privacy Policies (Option E):

Disclosing policies is essential, but it is part of obtaining parental consent (Option C).

1. Implementing Appropriate Security Measures (Option A):2. Ensuring Encryption of Data (Option B):3. Obtaining Verified Parental Consent (Option C):Other Options:References:

Salesforce Shield Platform Encryption

COPPA Compliance Guidelines

After deploying a care plan template to the final environment, it is crucial to perform the following steps to ensure users can successfully leverage it:

Activate the New Care Plan Template (A):

After deployment via Data Loader, the care plan template remains inactive by default. You must activate it in the final environment to make it available for users to apply to patient cases.

Activation ensures that care providers can use the template to assign care plans that include problems, goals, and tasks to their patients.

Confirm User Access to Care Plan Objects (B):

Users need the appropriate permissions to access care plan objects (e.g., Problems, Goals, and Tasks). Verify and assign the correct profiles or permission sets to ensure users can view, edit, and apply these components within the care plan template.

Why Other Options Are Incorrect:

C. Conduct end-user training on the use of the care plan template:While beneficial for user adoption, training is not a technical or mandatory step to enable users to leverage the template post-deployment.

D. Activate the problems, goals, and tasks associated with the template:Individual components like problems, goals, and tasks are activated as part of the template. Activating the template itself (Option A) suffices.

References:

Administer Health Cloud

Salesforce Documentation on Care Plan Template Management

To change the formatting of a field element in an OmniStudio FlexCard to use the Times New Roman font and a red color, the following approaches are viable:

Custom CSS can be applied to define specific styling for field elements in a FlexCard.

CSS rules can specify the font family (Times New Roman) and color (red) precisely, providing complete control over design details.

Example:

1. Write Custom CSS (B):.my-custom-class {

font-family: "Times New Roman", serif;

color: red;

}

This CSS class can be referenced in the FlexCard configuration.

The Field Style section in the FlexCard Designer allows designers to set styling properties directly.

Font family and color are common options available in the Field Style configuration, making it straightforward to apply basic formatting changes without writing code.

2. Make Edits to Field Style (D):Why Other Options Are Incorrect:

A. Make edits to Field Properties: Field Properties control functional aspects of the field (e.g., field type or source) rather than styling.

C. Make edits to Setup Panel: The Setup Panel configures overall FlexCard settings but does not handle individual field styling.

References:

OmniStudio FlexCard Designer Documentation

Custom Styling in OmniStudio

Bloomington Caregivers, utilizing Salesforce Health Cloud, seeks to integrate with an external payer system to facilitate electronic requests for care services. To achieve this, the following business-level APIs are recommended:

1. Prior Authorization API

The Prior Authorization API enables healthcare providers to submit electronic requests for approval of specific medical services or treatments before they are provided. This process ensures that the proposed care is medically necessary and covered under the patient's insurance plan, thereby reducing delays and administrative burdens associated with manual authorization processes. Implementing this API streamlines communication between providers and payers, enhancing efficiency and patient care.

2. Referral Request API

The Referral Request API allows healthcare providers to electronically submit referrals for patients to receive specialist services or additional medical evaluations. This API ensures that referrals are processed promptly, facilitating timely access to necessary care for patients. By automating the referral process, it reduces paperwork and potential errors, improving coordination between primary care providers, specialists, and payers.

3. Care Services API

The Care Services API supports the management and coordination of various healthcare services provided to patients. It enables the electronic submission and tracking of service requests, such as home health care, medical equipment provision, or therapy sessions. This API ensures that all parties, including providers and payers, have up-to-date information on the services being rendered, promoting seamless care coordination and efficient resource utilization.

References:

For detailed information on Health Cloud Business APIs, including those for Prior Authorization, Referral Requests, and Care Services, refer to the Salesforce Health Cloud Developer Guide:

Salesforce Developers

To understand how these APIs integrate with external systems and the benefits they offer in streamlining healthcare operations, consult the Salesforce Healthcare API documentation:

Salesforce Developers

Implementing these APIs will enable Bloomington Caregivers to efficiently manage electronic requests for care services, ensuring timely approvals and coordinated care delivery.

The Discovery Framework in Salesforce Health Cloud is designed to streamline intake and clinical assessment processes by leveraging configurable and reusable components. Below is a detailed explanation of the correct options:

Correct Capabilities:

FHIR Question Bank (C):

Health Cloud supports the integration of FHIR (Fast Healthcare Interoperability Resources) standards for clinical data management.

The FHIR Question Bank allows healthcare organizations to utilize predefined, standards-compliant question sets for assessments. This ensures uniformity and compliance with healthcare regulations.

Digital Signature Capture (D):

Salesforce Health Cloud enables capturing digital signatures to confirm the completion and accuracy of assessments, which is often required for compliance or legal documentation.

Using Previously Submitted Responses (E):

Health Cloud supports dynamic assessments that can reference and reuse responses from previously submitted assessments. This enhances efficiency, prevents redundancy, and reduces patient burden.

Why Other Options Are Incorrect:

A. Adding a QR Code:QR codes are not a standard out-of-the-box feature for assessments in Salesforce Health Cloud. While QR codes can be custom-implemented, they are not directly relevant to the Discovery Framework.

B. SMS Assessment Completion:SMS-based assessment completion is not an out-of-the-box feature of Health Cloud. It requires customization or integration with third-party messaging solutions to achieve this functionality.

References:

Administer Health Cloud

Salesforce Health Cloud Documentation on FHIR and Clinical Assessments

Salesforce Discovery Framework Overview

Bloomington Caregivers is transitioning from legacy Care Plans to Integrated Care Management (ICM) in Salesforce Health Cloud to enhance care coordination and patient outcomes. Understanding the features and setup of ICM is crucial for a successful transition.

Enabling Integrated Care Management (Answer C):

Enhanced Care Management Setting:

Purpose: Activating the Enhanced Care Management setting in Salesforce Setup enables Integrated Care Management features within Health Cloud.

Implementation Steps:

Navigate to Setup: In Salesforce, go to Setup.

Search for Health Cloud Settings: Enter "Health Cloud" in the Quick Find box and select Health Cloud Settings.

Enable Enhanced Care Management: Locate the Enhanced Care Management option and toggle it to enable.

The Virtual Care capability in Salesforce Health Cloud enables care providers to conduct video consultations with patients. This functionality is specifically designed to facilitate telemedicine appointments, including addressing social determinants of health (SDOH) that may impact patient care.

Key Features of Virtual Care:

Video Visits: Supports secure and HIPAA-compliant video calls between providers and patients.

Integration with Care Plans: Allows discussions of SDOH within the context of the patient’s care plan, promoting holistic care.

Scheduling and Notifications: Integrates with scheduling systems to set up and notify patients of video appointments.

Why Other Options Are Incorrect:

Intelligent Appointment Management: Focuses on optimizing in-person appointment scheduling rather than telehealth services.

Telehealth: While closely related, the specific Salesforce Health Cloud term for video consultations is "Virtual Care."

Integrated Care Management: Manages care plans and tasks but does not directly address video consultations.

References:

Virtual Care Overview

In Salesforce Health Cloud, modeling patients effectively is crucial for maintaining accurate and comprehensive healthcare records. For large provider systems, the recommended approach is to utilize Person Accounts to represent individual patients.

Understanding Person Accounts:

A Person Account in Salesforce is a special type of account that combines the characteristics of both an Account and a Contact into a single record. This structure is particularly beneficial in healthcare settings where the patient is both the individual receiving care (Contact) and the primary account holder (Account).

Advantages of Using Person Accounts in Health Cloud:

Unified Patient Representation:

Person Accounts provide a consolidated view of patient information, eliminating the need to manage separate Account and Contact records for the same individual.

Alignment with Healthcare Data Models:

Salesforce Health Cloud's data model is designed to work seamlessly with Person Accounts, ensuring compatibility with healthcare standards like FHIR (Fast Healthcare Interoperability Resources). This alignment facilitates interoperability with Electronic Health Record (EHR) systems and other healthcare applications.

Enhanced Data Management:

With Person Accounts, healthcare providers can efficiently manage patient demographics, contact information, medical history, and other critical data within a single record, streamlining administrative processes and improving data accuracy.

Implementation Considerations:

Enabling Person Accounts:

Person Accounts must be enabled in your Salesforce org. This process is irreversible and should be carefully planned. Consult Salesforce documentation and consider involving a Salesforce administrator or consultant to ensure proper setup.

Data Migration:

If transitioning from a system that uses separate Account and Contact records, plan for data migration to consolidate existing patient records into Person Accounts.

Customization and Integration:

Ensure that customizations and integrations within your Salesforce org are compatible with Person Accounts. Some third-party applications may require adjustments to work effectively with this data model.

References:

Patient Resource Mapping: Salesforce Health Cloud maps the FHIR Patient resource to Person Accounts, reinforcing the suitability of Person Accounts for patient representation.

Salesforce Developers

Clinical Data Model: Salesforce's Clinical Data Model aligns with FHIR standards and supports the use of Person Accounts for patient data management.

Salesforce Developers

By leveraging Person Accounts, large provider systems can achieve a streamlined and standardized approach to patient data management within Salesforce Health Cloud, enhancing care coordination and supporting interoperability across healthcare platforms.

When configuring security for patient lists in Salesforce Health Cloud, administrators must consider object-level, field-level, and list-level access to ensure data privacy and compliance with regulations like HIPAA. Below are the key considerations:

HCPatientListSecurity Custom Setting (A):

This custom setting allows administrators to define and restrict access to patient lists at a granular level. For example, administrators can control which users can view or interact with patient lists based on their role or department.

Field-Level Security Impact (C):

If a user’s field-level security restricts access to a field included in the patient list’s display columns, the column will not appear in the list. This ensures sensitive data is protected and only accessible to authorized users.

Object Access Restrictions (E):

Users with restricted object-level access (via profiles or permission sets) cannot create or view lists that utilize those objects. This ensures that unauthorized users cannot access or manipulate sensitive data.

Why Other Options Are Incorrect:

B: Restriction rules in Salesforce are used to provide additional access beyond organization-wide defaults (OWDs), not for patient lists.

D: Patient list access is managed through specific Health Cloud mechanisms, not standard Salesforce sharing settings.

References:

Health Cloud Security Overview

Field-Level Security Documentation

When launching a patient portal with contact tracing functionality as part of a Health Cloud implementation, it's crucial to select a license that supports advanced sharing capabilities and customizable dashboards for external patient users. The Customer Community Plus for Health Cloud license is the most appropriate choice to meet these requirements.

Key Features of Customer Community Plus for Health Cloud:

Advanced Sharing: This license offers advanced sharing capabilities, allowing for more granular control over data access. This ensures that patients can securely access their health information while maintaining compliance with privacy regulations.

Customizable Dashboards: With this license, users have access to customizable dashboards, enabling the presentation of personalized health data, appointment schedules, and other relevant information in an intuitive and user-friendly interface.

Enhanced Permissions: Customer Community Plus provides enhanced permissions compared to the standard Customer Community license, including the ability for users to manage their own records and collaborate more effectively with healthcare providers.

Considerations:

User Access Requirements: Assess the specific needs of your patient users, including the types of data they need to access and the level of interaction required within the portal. Customer Community Plus supports more complex use cases involving data sharing and collaboration.

Compliance and Security: Ensure that the chosen license aligns with healthcare compliance standards, such as HIPAA, to protect patient information. The advanced sharing and security features of Customer Community Plus support adherence to these regulations.

References:

Experience Cloud for Health Cloud FAQ: This Salesforce Help article provides detailed information about the capabilities and features of Experience Cloud licenses tailored for Health Cloud, including advanced sharing and dashboard customization.

Salesforce

Editions & Pricing - Health Cloud: This Salesforce pricing page outlines the different Health Cloud editions and their features, helping to determine the most suitable license for your needs.

Salesforce

By selecting the Customer Community Plus for Health Cloud license, Bloomington Caregivers can provide their external patient users with a robust and secure portal experience, featuring advanced data sharing and customizable dashboards that enhance patient engagement and satisfaction.

To track account information and its geographical details, the following objects in Salesforce Health Cloud support the scenario:

Location:

Represents the physical location of a healthcare facility, such as a hospital or clinic.

Tracks details like address, contact information, and geocoordinates for mapping purposes.

Facilitates integration with tools for location-based services or routing.

Healthcare Facility:

Represents the organizational entity (e.g., hospital, clinic, or medical practice).

Stores information about the type of facility, services offered, and affiliations with healthcare networks.

Facility Address:

Stores detailed address information specific to a healthcare facility.

Enables differentiation between multiple addresses for the same facility, such as billing and physical addresses.

Why Not the Other Options?

D. Clinic Location: This object is not part of Health Cloud's standard data model.

E. Account: While Account is central to tracking organization details, it does not specifically address geographical details.

Use Case Implementation: By combining Location, Healthcare Facility, and Facility Address objects, organizations can provide comprehensive geographical and organizational data to representatives, enabling efficient onsite operations.

References:

Health Cloud Data Model Documentation

Geolocation Features in Salesforce

Using External Objects is the most efficient integration pattern for managing large volumes of data, such as claims. In this scenario, the claims data resides in an external system, and fetching 10 million records annually into Salesforce is neither scalable nor cost-effective. External Objects allow Salesforce users to access the data on demand without storing it in Salesforce.

Key Features of External Objects:

Real-Time Access: Fetches claims data directly from the external system when a patient’s record is accessed.

Storage Efficiency: Avoids consuming Salesforce storage limits by not importing the data.

Flexible Integration: External data sources such as OData can be configured to integrate with Salesforce.

Why Other Options Are Incorrect:

A. Nightly Job: Importing all claims into Salesforce daily would require excessive storage and processing resources.

B. ESB Load: Loading claims into Salesforce via an ESB introduces similar storage concerns as Option A.

C. Callout on Demand: While possible, storing claims data in Salesforce after a callout defeats the purpose of on-demand integration.

References:

External Objects in Salesforce

Integrating External Data with Salesforce Connect

The business process requires a combination of capabilities for handling patient insurance cards, benefits verification, and appointment scheduling. The following Health Cloud capabilities are recommended:

Intelligent Document Automation:

Automates the processing of uploaded documents, such as insurance cards.

Intelligent Document Reader:

Reads data from documents and creates corresponding records (e.g., Member Plan records).

Benefits Verification:

Runs real-time verification checks on insurance plans and coverage.

Intelligent Appointment Management:

Facilitates scheduling appointments on behalf of the patient with the provider.

Why Other Options Are Incorrect:

A & B: These options exclude critical elements like Intelligent Document Reader.

D: Utilization Management and Care Management are unrelated to the stated requirements.

References:

Intelligent Document Automation Overview

Intelligent Appointment Management Overview

Benefits Verification Overview

To effectively recruit, credential, and onboard providers into its network, a payer should utilize the Provider Network Management add-on in Salesforce Health Cloud.

Understanding Provider Network Management:

Purpose: Provider Network Management (PNM) is designed to streamline the processes of recruiting, enrolling, credentialing, and managing healthcare providers within a payer's network. It enhances operational efficiency, ensures compliance, and improves provider satisfaction.

Key Features:

Provider Enrollment: Facilitates efficient registration and recruitment of providers, reducing onboarding time and enhancing engagement.

Credentialing: Supports verification and validation of provider qualifications, ensuring that only qualified professionals join the network.

Contract Management: Manages various contract types and network models, accommodating diverse provider relationships.

Network Adequacy: Assists in constructing effective provider networks to meet patient needs and regulatory requirements.

Implementation Steps:

Acquire the Provider Network Management Add-On:

Ensure that your Salesforce Health Cloud instance includes the PNM add-on, which is available in Enterprise and Unlimited editions.

Configure Provider Enrollment Processes:

Set up workflows for provider recruitment and registration, utilizing PNM's enrollment features to streamline the process.

Establish Credentialing Protocols:

Implement credentialing workflows to verify provider qualifications, leveraging PNM's integration capabilities for primary source verification.

Manage Contracts and Networks:

Utilize PNM's contract management tools to handle various contract types and maintain an organized provider network.

References:

How Provider Network Management Works: For a comprehensive overview of PNM's functionalities, refer to Salesforce's official documentation: How Provider Network Management Works

Get to Know Provider Network Management: To understand the setup and configuration of PNM, consult: Get to Know Provider Network Management

Conclusion:

By implementing the Provider Network Management add-on, payers can effectively recruit, credential, and onboard providers, thereby enhancing network efficiency, ensuring compliance, and improving overall provider satisfaction.