In this era of budget constraints, why would the state want to stress acute care hospitals to report more data? If all this extra reporting would help to prevent infections, it would be of benefit, but that will not be the case. JRMC is transparent with the rates of infections and is willing to share with anyone, however, these proposed changes will not help in the reduction of infections. SCIP core meansures are already reported to a number of agencies and the state could easily obtain such data from these sources. C-difficile is associated with the over-use and under-management of antibiotics, thus the state could help us much more by assisting with the promotion of antibiotic management., not just the reporting of the number of cases of C-difficile. These proposed regulations will place a huge burden on already overworked Infection Preventionists. Instead of making rounds and overseeing Infection Control parameters, Preventioinists will be glued to the computer entering data. In this budget weary climate, there will not be any proposed help to assist in this project. I sincerely ask that these proposed amendments be at least revised to include only one other defined reporting  area instead of 4 additional areas,  or in the best interest of all,  voted against completely. Lets use our resources more efficiently.  Thank you for your consideration.