Attribution for Critical Illness and Injury Final Report 

With funding from the Centers for Medicare & Medicaid Services (CMS), the National Quality Forum (NQF) convened a multistakeholder Committee to put forth recommendations for developing quality measurement attribution approaches for high-acuity emergency care-sensitive conditions (ECSCs) and mass casualty incidents (MCIs). The report outlines key considerations for the following elements of attribution approaches for large-scale emergencies: establishing the goal of attribution, defining the population/geographic regions, establishing the teams involved in the response, making attribution timing and data decisions, supporting the patient role in care selection, and avoiding negative unintended consequences. The report prioritizes quality measures for potential use and identifies concepts for new measures relevant to MCIs and public health emergencies. Six use cases are included to represent the application of attribution considerations to various high-acuity emergency scenarios.