{"uid":"cap_QLtXgoHJ89xaEoNc-wJGB","slug":"cms-timely-effective-care-ed-throughput-delta-f0c9d8dd","name":"CMS Timely & Effective Care ED Throughput Delta","description":"Which hospitals' emergency-department throughput is degrading period-over-period? Windows the CMS Timely & Effective Care snapshots to compute each hospital's latest-vs-prior change on a measure (default OP_18b median ED time; higher = worse). Filter by measure, state, facility_id, direction (worse | better | any), min_pct_change, min_delta, and min_sample. Returns latest_score, prior_score, delta, and pct_change — the founder's ED-staffing-pressure tell. CMS Care Compare public-domain records.","url":"https://api.govparse.io/v1/cms/timely-care/delta","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","properties":{"input":{"type":"object","required":[],"properties":{"limit":{"type":"integer","examples":[25],"description":"Max rows (default 25, cap 100)."},"state":{"type":"string","examples":["IL"],"description":"Hospital state code(s), CSV."},"offset":{"type":"integer","examples":[0],"description":"Rows to skip."},"measure":{"type":"string","examples":["OP_18b"],"description":"Measure id to compare across periods (default OP_18b)."},"direction":{"type":"string","examples":["worse"],"description":"worse (default) | better | any."},"min_delta":{"type":"string","examples":["30"],"description":"Minimum absolute change in the chosen direction."},"min_sample":{"type":"string","examples":["100"],"description":"Minimum latest-period sample size."},"facility_id":{"type":"string","examples":["140117"],"description":"CMS CCN(s), CSV."},"min_pct_change":{"type":"string","examples":["10"],"description":"Minimum period-over-period % change in the chosen direction."}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"1.25","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$1.25/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"1.25","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"1.25","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_iJrbLJMeMnVuO6pWFtZPO","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"1.25","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Computes period-over-period change in hospital emergency department throughput metrics from CMS Timely & Effective Care snapshots, identifying which hospitals are getting better or worse.","exampleAgentPrompt":"Which Illinois hospitals have seen their CMS OP_18b emergency department median time get worse by at least 10% period-over-period, with a minimum sample of 100 patients? Show me the top 25 ranked by biggest degradation.","exampleUseCases":[{"title":"ED staffing pressure signal for investors","prompt":"I'm evaluating hospital staffing companies — which hospitals across the country have seen their CMS OP_18b median ED time worsen by at least 15% period-over-period with at least 100 patient samples? Give me the top 25 worst deteriorating facilities."},{"title":"State-level ED performance monitoring","prompt":"Can you pull the CMS timely-care delta data for all Texas hospitals and show me which ones have improved their emergency department throughput this latest period — filter for better direction and at least a 20-point absolute improvement?"},{"title":"Targeting specific hospital network degradation","prompt":"I need to check if any of these specific hospitals — CMS facility IDs 140117, 140150, and 140200 — have had their OP_18b ED wait time scores degrade at all period-over-period, even small changes. Use direction 'worse' and no minimum threshold."}],"resultDescription":"Returns a paginated list of hospitals with their latest CMS measure score, prior period score, absolute delta, and percent change — sorted by the chosen direction and filtered by the specified state, facility, measure, and threshold criteria.","failureModes":["Invalid measure ID returns no results or 400 error","Facility ID not found in CMS dataset returns empty results","min_pct_change or min_delta values that are too high return zero matches","State code typo returns empty result set","Requesting more than 100 rows (cap) returns error","Insufficient data across periods for a facility means it is excluded from delta calculation"],"whenToPreferThis":"Use this endpoint when you need to detect period-over-period trends in hospital ED performance rather than a static snapshot. It is ideal for identifying healthcare facilities under increasing operational pressure, building investment signals around hospital staffing demand, or monitoring quality degradation across a regional or national hospital network. Prefer this over a raw CMS search endpoint when the rate of change — not the absolute score — is what matters.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-15T00:42:41.308Z","isFirstParty":false}