Thank you for your comment regarding CMS826v3, Hospital Harm - Pressure Injury. While the Centers for Medicare & Medicaid Services (CMS) and Joint Commission (JC) both seek to reduce patient harm related to pressure injuries, it is important to distinguish between electronic clinical quality measures (eCQMs) and patient safety events or serious reportable events (SREs). Alignment between organizations does not mean that the measure specifications, staging thresholds, or exclusion criteria are identical.   Though eCQMs may cite publicly available clinical guidelines or consensus documents to support the rationale for the outcomes evaluated, eCQMs are not intended to serve as clinical guidelines or establish a standard of medical care. Each eCQM defines its population, outcomes, and exclusions based on methodological considerations specific to quality measurement, which may differ from those used for accreditation or safety event reporting purposes. In addition, CMS-stewarded eCQMs undergo review and vetting by a technical expert panel to support clinical validity, ensure the measures address meaningful harms, and confirm the specifications are appropriate for quality measurement and quality improvement. CMS826v3 was finalized and publicly posted to the eCQI Resource Center in May 2025 for the 2026 reporting year—more than six months prior to the publication of the January 2026​ JC report for SREs, making the staging definitions and exclusions outlined in the JC SRE List unavailable for consideration during the update cycle for the current version of the measure. CMS and measure developers routinely review updated clinical evidence, guidelines, and related publications during each update cycle. The report you reference may be considered for inclusion or discussion in future iterations of the Hospital Harm - Pressure Injury eCQM.