The rule
Screen early, write a plan with owners and a site that has accepted the patient, then evaluate the goal.
If equipment, authorization, or the receiving clinician is missing, the discharge is not secured.
Never miss
- ACMA tests screening, planning, coordination and transitions, and evaluation.
- Observation versus inpatient is an order and a medical-necessity question.
- A sticky note is not the shared plan.
- Friday afternoon empty referrals bounce.
- The patient, the caregiver, and the receiving clinician all need the follow-up date.
- An early return is an evaluation signal, not a chance to recode the first stay.
Traps
- Documenting equipment that has not been delivered.
- Inventing a post-acute authorization number.
- Sending only a face sheet to a skilled-nursing facility.
- Closing the case because the family should cope.
Shortcuts
- Barriers on day one: function, payer class, home, caregiver.
- Preference and safety both stay in the plan.
- Closure names remaining risks and the next owner.
Memory hooks
- SCREEN-PLAN-MOVE-CHECK. The four ACM domains in desk language Hospital case management in one line.
RemoteNurse is practice evidence that complements ACM preparation. It is not affiliated with ACMA.
- Day 1Screening and assessmentRead the Screening and assessment terms, then the never-miss lines that touch this domain.
- Day 2PlanningRead the Planning terms, then the never-miss lines that touch this domain.
- Day 3Coordination and transitionsRead the Coordination and transitions terms, then the never-miss lines that touch this domain.
- Day 4EvaluationRead the Evaluation terms, then the never-miss lines that touch this domain.
- Day 5Screening and assessmentRead the Screening and assessment terms, then the never-miss lines that touch this domain.
- Day 6Mixed recallRun the term cards, then a short drill. Restate the one-line rule out loud.
- Day 7Full drillSit the 15-question exam and review every miss against this kit.
RemoteNurse is not affiliated with, sponsored by, or endorsed by the American Case Management Association. These are original RemoteNurse practice items written against publicly described exam domains and federal workflow rules. They are not official examination questions. Scores are a practice signal only and do not predict whether you will pass any issuer exam.