# CMS Hospital Quality Risk Monitor (`signaltools/cms-hospital-quality-risk-monitor`) Actor Scan public CMS Hospital General Information data and score hospital quality, safety, mortality, readmission, ownership, and delta risk signals. - **URL**: https://apify.com/signaltools/cms-hospital-quality-risk-monitor.md - **Developed by:** [Stephen Coulson](https://apify.com/signaltools) (community) - **Categories:** Lead generation, Automation, Other - **Stats:** 2 total users, 1 monthly users, 100.0% runs succeeded, 0 bookmarks - **User rating**: No ratings yet ## Pricing Pay per usage This Actor is paid per platform usage. The Actor is free to use, and you only pay for the Apify platform usage, which gets cheaper the higher subscription plan you have. Learn more: https://docs.apify.com/platform/actors/running/actors-in-store#pay-per-usage ## What's an Apify Actor? Actors are a software tools running on the Apify platform, for all kinds of web data extraction and automation use cases. In Batch mode, an Actor accepts a well-defined JSON input, performs an action which can take anything from a few seconds to a few hours, and optionally produces a well-defined JSON output, datasets with results, or files in key-value store. In Standby mode, an Actor provides a web server which can be used as a website, API, or an MCP server. Actors are written with capital "A". ## How to integrate an Actor? If asked about integration, you help developers integrate Actors into their projects. You adapt to their stack and deliver integrations that are safe, well-documented, and production-ready. The best way to integrate Actors is as follows. In JavaScript/TypeScript projects, use official [JavaScript/TypeScript client](https://docs.apify.com/api/client/js.md): ```bash npm install apify-client ``` In Python projects, use official [Python client library](https://docs.apify.com/api/client/python.md): ```bash pip install apify-client ``` In shell scripts, use [Apify CLI](https://docs.apify.com/cli/docs.md): ````bash # MacOS / Linux curl -fsSL https://apify.com/install-cli.sh | bash # Windows irm https://apify.com/install-cli.ps1 | iex ```bash In AI frameworks, you might use the [Apify MCP server](https://docs.apify.com/platform/integrations/mcp.md). If your project is in a different language, use the [REST API](https://docs.apify.com/api/v2.md). For usage examples, see the [API](#api) section below. For more details, see Apify documentation as [Markdown index](https://docs.apify.com/llms.txt) and [Markdown full-text](https://docs.apify.com/llms-full.txt). # README ## CMS Hospital Quality Risk Monitor Turns the public CMS Hospital General Information dataset into CRM/compliance-ready hospital quality risk signals. ### What it does - Fetches public CMS Hospital General Information (`xubh-q36u`) from `data.cms.gov`. - Filters by state and optional facility/ownership keywords. - Scores hospitals for low overall ratings, mortality/safety/readmission measures worse than national benchmarks, ownership terms, hospital type, and emergency-services flags. - Emits sorted dataset rows with `risk_score`, `risk_tier`, `risk_reasons`, source URL, and delta status. - Persists snapshots in a named key-value store so scheduled runs can detect new/changed/removed hospital risk signals. ### Example input ```json { "states": ["CA", "FL", "NY", "TX"], "ownershipKeywords": ["Proprietary", "Corporation", "LLC"], "limit": 1500, "minRiskScore": 30, "enableDelta": true, "emitRemoved": false, "persistSnapshot": true } ```` ### Output Each dataset row includes facility name, CMS facility ID, location, hospital type, ownership, overall rating, mortality/safety/readmission worse-than-national counts, `risk_score`, `risk_tier`, `risk_reasons`, `change_status`, and `source_url`. ### Notes This Actor uses public CMS open data only. It does not use login-gated data, private patient information, paid proxies, or outreach. # Actor input Schema ## `states` (type: `array`): Two-letter states to include. Leave empty to scan all CMS rows fetched. ## `facilityKeywords` (type: `array`): Optional case-insensitive keywords matched against facility name, city, county, type and ownership. ## `ownershipKeywords` (type: `array`): Optional ownership terms to prioritize, e.g. Proprietary, Corporation, Voluntary non-profit, Government. ## `limit` (type: `integer`): Maximum rows requested from the public CMS Hospital General Information dataset. ## `minRiskScore` (type: `integer`): Only emit hospitals scoring at least this high. ## `enableDelta` (type: `boolean`): Compare current rows to the previous persisted snapshot. ## `emitRemoved` (type: `boolean`): Emit rows for previously matching hospitals no longer present in the current scan. ## `persistSnapshot` (type: `boolean`): Save current matching rows in a named key-value store for future delta detection. ## Actor input object example ```json { "states": [ "CA", "FL", "NY", "TX" ], "facilityKeywords": [], "ownershipKeywords": [ "Proprietary", "Corporation", "LLC" ], "limit": 1500, "minRiskScore": 30, "enableDelta": true, "emitRemoved": false, "persistSnapshot": true } ``` # Actor output Schema ## `results` (type: `string`): Structured CMS hospital rows with risk score, ratings, measure groups, ownership, and delta status. ## `summary` (type: `string`): Aggregate counts, top matches, errors, and delta counts. # API You can run this Actor programmatically using our API. Below are code examples in JavaScript, Python, and CLI, as well as the OpenAPI specification and MCP server setup. ## JavaScript example ```javascript import { ApifyClient } from 'apify-client'; // Initialize the ApifyClient with your Apify API token // Replace the '' with your token const client = new ApifyClient({ token: '', }); // Prepare Actor input const input = {}; // Run the Actor and wait for it to finish const run = await client.actor("signaltools/cms-hospital-quality-risk-monitor").call(input); // Fetch and print Actor results from the run's dataset (if any) console.log('Results from dataset'); console.log(`💾 Check your data here: https://console.apify.com/storage/datasets/${run.defaultDatasetId}`); const { items } = await client.dataset(run.defaultDatasetId).listItems(); items.forEach((item) => { console.dir(item); }); // 📚 Want to learn more 📖? Go to → https://docs.apify.com/api/client/js/docs ``` ## Python example ```python from apify_client import ApifyClient # Initialize the ApifyClient with your Apify API token # Replace '' with your token. client = ApifyClient("") # Prepare the Actor input run_input = {} # Run the Actor and wait for it to finish run = client.actor("signaltools/cms-hospital-quality-risk-monitor").call(run_input=run_input) # Fetch and print Actor results from the run's dataset (if there are any) print("💾 Check your data here: https://console.apify.com/storage/datasets/" + run["defaultDatasetId"]) for item in client.dataset(run["defaultDatasetId"]).iterate_items(): print(item) # 📚 Want to learn more 📖? Go to → https://docs.apify.com/api/client/python/docs/quick-start ``` ## CLI example ```bash echo '{}' | apify call signaltools/cms-hospital-quality-risk-monitor --silent --output-dataset ``` ## MCP server setup ```json { "mcpServers": { "apify": { "command": "npx", "args": [ "mcp-remote", "https://mcp.apify.com/?tools=signaltools/cms-hospital-quality-risk-monitor", "--header", "Authorization: Bearer " ] } } } ``` ## OpenAPI specification ```json { "openapi": "3.0.1", "info": { "title": "CMS Hospital Quality Risk Monitor", "description": "Scan public CMS Hospital General Information data and score hospital quality, safety, mortality, readmission, ownership, and delta risk signals.", "version": "0.1", "x-build-id": "irASc9RLdGcbGTaCW" }, "servers": [ { "url": "https://api.apify.com/v2" } ], "paths": { "/acts/signaltools~cms-hospital-quality-risk-monitor/run-sync-get-dataset-items": { "post": { "operationId": "run-sync-get-dataset-items-signaltools-cms-hospital-quality-risk-monitor", "x-openai-isConsequential": false, "summary": "Executes an Actor, waits for its completion, and returns Actor's dataset items in response.", "tags": [ "Run Actor" ], "requestBody": { "required": true, "content": { "application/json": { "schema": { "$ref": "#/components/schemas/inputSchema" } } } }, "parameters": [ { "name": "token", "in": "query", "required": true, "schema": { "type": "string" }, "description": "Enter your Apify token here" } ], "responses": { "200": { "description": "OK" } } } }, "/acts/signaltools~cms-hospital-quality-risk-monitor/runs": { "post": { "operationId": "runs-sync-signaltools-cms-hospital-quality-risk-monitor", "x-openai-isConsequential": false, "summary": "Executes an Actor and returns information about the initiated run in response.", "tags": [ "Run Actor" ], "requestBody": { "required": true, "content": { "application/json": { "schema": { "$ref": "#/components/schemas/inputSchema" } } } }, "parameters": [ { "name": "token", "in": "query", "required": true, "schema": { "type": "string" }, "description": "Enter your Apify token here" } ], "responses": { "200": { "description": "OK", "content": { "application/json": { "schema": { "$ref": "#/components/schemas/runsResponseSchema" } } } } } } }, "/acts/signaltools~cms-hospital-quality-risk-monitor/run-sync": { "post": { "operationId": "run-sync-signaltools-cms-hospital-quality-risk-monitor", "x-openai-isConsequential": false, "summary": "Executes an Actor, waits for completion, and returns the OUTPUT from Key-value store in response.", "tags": [ "Run Actor" ], "requestBody": { "required": true, "content": { "application/json": { "schema": { "$ref": "#/components/schemas/inputSchema" } } } }, "parameters": [ { "name": "token", "in": "query", "required": true, "schema": { "type": "string" }, "description": "Enter your Apify token here" } ], "responses": { "200": { "description": "OK" } } } } }, "components": { "schemas": { "inputSchema": { "type": "object", "properties": { "states": { "title": "US state abbreviations", "type": "array", "description": "Two-letter states to include. Leave empty to scan all CMS rows fetched.", "default": [ "CA", "FL", "NY", "TX" ], "items": { "type": "string" } }, "facilityKeywords": { "title": "Facility/city/county keywords", "type": "array", "description": "Optional case-insensitive keywords matched against facility name, city, county, type and ownership.", "default": [], "items": { "type": "string" } }, "ownershipKeywords": { "title": "Ownership keywords", "type": "array", "description": "Optional ownership terms to prioritize, e.g. Proprietary, Corporation, Voluntary non-profit, Government.", "default": [ "Proprietary", "Corporation", "LLC" ], "items": { "type": "string" } }, "limit": { "title": "Maximum CMS rows to fetch", "minimum": 1, "maximum": 5000, "type": "integer", "description": "Maximum rows requested from the public CMS Hospital General Information dataset.", "default": 1500 }, "minRiskScore": { "title": "Minimum risk score", "minimum": 0, "maximum": 100, "type": "integer", "description": "Only emit hospitals scoring at least this high.", "default": 30 }, "enableDelta": { "title": "Detect deltas", "type": "boolean", "description": "Compare current rows to the previous persisted snapshot.", "default": true }, "emitRemoved": { "title": "Emit removed records", "type": "boolean", "description": "Emit rows for previously matching hospitals no longer present in the current scan.", "default": false }, "persistSnapshot": { "title": "Persist snapshot", "type": "boolean", "description": "Save current matching rows in a named key-value store for future delta detection.", "default": true } } }, "runsResponseSchema": { "type": "object", "properties": { "data": { "type": "object", "properties": { "id": { "type": "string" }, "actId": { "type": "string" }, "userId": { "type": "string" }, "startedAt": { "type": "string", "format": "date-time", "example": "2025-01-08T00:00:00.000Z" }, "finishedAt": { "type": "string", "format": "date-time", "example": "2025-01-08T00:00:00.000Z" }, "status": { "type": "string", "example": "READY" }, "meta": { "type": "object", "properties": { "origin": { "type": "string", "example": "API" }, "userAgent": { "type": "string" } } }, "stats": { "type": "object", "properties": { "inputBodyLen": { "type": "integer", "example": 2000 }, "rebootCount": { "type": "integer", "example": 0 }, "restartCount": { "type": "integer", "example": 0 }, "resurrectCount": { "type": "integer", "example": 0 }, "computeUnits": { "type": "integer", "example": 0 } } }, "options": { "type": "object", "properties": { "build": { "type": "string", "example": "latest" }, "timeoutSecs": { "type": "integer", "example": 300 }, "memoryMbytes": { "type": "integer", "example": 1024 }, "diskMbytes": { "type": "integer", "example": 2048 } } }, "buildId": { "type": "string" }, "defaultKeyValueStoreId": { "type": "string" }, "defaultDatasetId": { "type": "string" }, "defaultRequestQueueId": { "type": "string" }, "buildNumber": { "type": "string", "example": "1.0.0" }, "containerUrl": { "type": "string" }, "usage": { "type": "object", "properties": { "ACTOR_COMPUTE_UNITS": { "type": "integer", "example": 0 }, "DATASET_READS": { "type": "integer", "example": 0 }, "DATASET_WRITES": { "type": "integer", "example": 0 }, "KEY_VALUE_STORE_READS": { "type": "integer", "example": 0 }, "KEY_VALUE_STORE_WRITES": { "type": "integer", "example": 1 }, "KEY_VALUE_STORE_LISTS": { "type": "integer", "example": 0 }, "REQUEST_QUEUE_READS": { "type": "integer", "example": 0 }, "REQUEST_QUEUE_WRITES": { "type": "integer", "example": 0 }, "DATA_TRANSFER_INTERNAL_GBYTES": { "type": "integer", "example": 0 }, "DATA_TRANSFER_EXTERNAL_GBYTES": { "type": "integer", "example": 0 }, "PROXY_RESIDENTIAL_TRANSFER_GBYTES": { "type": "integer", "example": 0 }, "PROXY_SERPS": { "type": "integer", "example": 0 } } }, "usageTotalUsd": { "type": "number", "example": 0.00005 }, "usageUsd": { "type": "object", "properties": { "ACTOR_COMPUTE_UNITS": { "type": "integer", "example": 0 }, "DATASET_READS": { "type": "integer", "example": 0 }, "DATASET_WRITES": { "type": "integer", "example": 0 }, "KEY_VALUE_STORE_READS": { "type": "integer", "example": 0 }, "KEY_VALUE_STORE_WRITES": { "type": "number", "example": 0.00005 }, "KEY_VALUE_STORE_LISTS": { "type": "integer", "example": 0 }, "REQUEST_QUEUE_READS": { "type": "integer", "example": 0 }, "REQUEST_QUEUE_WRITES": { "type": "integer", "example": 0 }, "DATA_TRANSFER_INTERNAL_GBYTES": { "type": "integer", "example": 0 }, "DATA_TRANSFER_EXTERNAL_GBYTES": { "type": "integer", "example": 0 }, "PROXY_RESIDENTIAL_TRANSFER_GBYTES": { "type": "integer", "example": 0 }, "PROXY_SERPS": { "type": "integer", "example": 0 } } } } } } } } } } ```