We have an excellent working relationship with our local health departments.  If there are questions on either end, we pick up the phone and call. I would hate to see that become automated. We are already following VDH reporting requirements in a timely manner.  I do not see the added value in allowing access to NHSN data. Organizations currently select components of participation in NHSN.  This may change in the future and requirements may increase. Would need clarity how this data would help VHD or how the data will be utilized.  The data is already public.