As part of an assessment to better understand local health department (LHD) engagement in tracking efforts at the local, state, and national levels, NACCHO conducted a series of interviews to provide LHDs' perspective on tracking. NACCHO specifically sought to identify successes and challenges unique to LHDs using tracking resources and participating in tracking efforts in order to determine next steps for NACCHO to promote and support the work of LHDs around tracking. The key findings include both positive feedback and information on barriers facing LHDs interested in applying tracking resources to drive community health outcomes. LHDs appreciate how CDC and state tracking programs standardize data, provide points of comparison, improve access to local data that LHDs do not collect, make data available, provide a clear point of contact for data, and link health outcomes with hazards data. Additionally, LHDs identified key barriers preventing their full engagement in tracking resources, including but not limited to: