This comment is in reference to the SCIP Core Measures.  Hospitals are already contracted  with third party vendors for the submission of SCIP data to Joint Commission/CMS.  To submit to VDH would be double the work.  VDH should work with the Joint Commission or CMS to obtain the data with the hospital's approval or authorization.  Also, the schedule for reporting should follow the same schedule as for the reporting to CMS/Joint Commission.