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Service Cloud
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Unified Patient Records and Health System
Health Cloud is a solution tailored to the healthcare industry. It merges Salesforce’s CRM capabilities with specific tools for healthcare providers, insurers, medical device firms, and pharmaceutical companies. Health Cloud aims to provide personalized and interconnected healthcare services, from patient communication to care coordination.
Health Cloud simplifies the accessibility of patient and member data, both clinical and non-clinical, for care teams. This encompasses information like current health conditions, medications, appointment history, communication preferences, and data sourced from Electronic Health Records (EHRs) and other relevant systems.
Essentially, Salesforce Health Cloud connects relevant teams to ensure patients receive appropriate care. Moreover, patients can trust the security of their data, as Salesforce employs a multi-layered security approach to ensure that only necessary healthcare professionals have access to their information.
Salesforce Health Cloud for Provider Functionalities
Patient Record Automation
Automates various aspects of patient record management, such as data entry, document management, and information sharing. It aims to reduce manual effort and improve data accuracy.
Patient Appointment Management
Enables providers to manage patient appointments, including scheduling, reminders, and waitlist management. It aims to optimize appointment scheduling and reduce no-shows.
Experience Cloud for Patients
Allows providers to create personalized and engaging digital experiences for their patients. It provides tools to build patient portals, mobile apps, and other digital touchpoints to empower patients with self-service capabilities.
Virtual Care Automation
Allows providers to automate virtual care workflows, such as scheduling virtual visits, sending reminders, and providing virtual consultations. It improves access to care and enhances the patient experience.
Patient Health Scoring
This uses data analytics to assess patient health risks and identify opportunities for intervention. It helps providers proactively manage patient health and improve outcomes.
Medication Management
Provides tools to manage patient medications, including prescription tracking, medication reconciliation, and adherence monitoring. It helps providers ensure medication safety and improve patient outcomes.
Care Plans
This allows providers to create and manage personalized care plans for patients. It enables them to track patient progress, coordinate care, and ensure adherence to treatment plans.
Remote Monitoring Exception Management
This helps providers manage patients who are being remotely monitored, such as those with chronic conditions. It allows them to identify and address exceptions or alerts that require intervention.
Physician Network Management
This helps providers manage their physician network, including credentialing, onboarding, and performance management. It improves communication and optimizes physician utilization based on specialties and patient needs
Reports and Analytics
This provides tools to track and analyze key metrics, such as patient outcomes, utilization rates, and operational efficiency. It helps providers identify trends, make data-driven decisions, and improve patient care.
Salesforce Health Cloud for Payer Functionalities
Insurance, Claims, and Clinical Data Models
This provides a standardized data model tailored to the healthcare payer industry. It allows for the storage and management of insurance, claims, and clinical data in a unified format, facilitating interoperability and data analysis
Member Care Management
This provides tools to manage member care programs, including care coordination, case management, and disease management. It helps payers proactively engage with members and improve health outcomes.
Virtual Care Automation
Automate virtual care workflows, such as scheduling appointments, sending reminders, and providing virtual consultations. It improves access to care and enhances the member experience.
Utilization Management
This provides tools to manage utilization review processes, including prior authorizations and concurrent reviews. It helps payers control costs and ensure appropriate care.
Intelligent Document Automation
This automates the processing of documents, such as claims and enrollment forms. It uses AI and machine learning to extract data, validate information, and route documents for processing.
Experience Cloud for members
This allows payers to create personalized and engaging digital experiences for their members. It provides tools to build self-service portals, mobile apps, and other digital touchpoints.
Sales and Administration
Helps payers manage sales and administrative processes, including enrollment, billing, and customer service. It streamlines operations and improves efficiency.
Distribution Management
This helps payers manage their distribution channels, including brokers, agents, and partners. It provides tools to track performance, manage relationships, and streamline processes.
Member Health Scoring
This uses data analytics to assess member health risks and identify opportunities for intervention. It helps payers proactively manage member health and improve outcomes.
Reports and Analytics
This provides tools to track and analyze key metrics, such as member engagement, care costs, and utilization rates.It helps payers identify trends, make data-driven decisions, and improve performance.
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