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Best Shots for Kids Learning Collaborative

Through the Best Shots for Kids Learning Collaborative, partners at the UW School of Public Health, Department of Epidemiology, NWCPHP, and Public Health – Seattle & King County Immunization Program will work to improve adolescent vaccination coverage in King County, WA. The Learning Collaborative will develop trainings and activities to increase endorsement of recommended vaccines and reduce obstacles to immunization completeness.

Adolescents and teens often fall behind on immunizations. In particular, uptake of the HPV vaccine, which protects against the most common sexually transmitted infection in the US, has stagnated. Nationally, only 50% of 13–17-year-old girls and 38% of 13–17-year-old boys had completed the series in 2016. In King County, 57% of 13–17-year-olds had initiated the HPV vaccine series in 20161, and only 33% completed all three doses.*

When adolescents and teens are not up to date on immunizations, they are vulnerable to developing and transmitting preventable illness. Improving HPV vaccine initiation and series completion rates, as well as those of other adolescent and teen vaccines—MCV (meningitis) and Tdap (tetanus, diphtheria, and pertussis, or whooping cough)—is a high-priority public health goal.

The Best Shots for Kids Learning Collaborative is a partnership between the University of Washington (UW) School of Public Health's Department of Epidemiology and Northwest Center for Public Health Practice and the Public Health - Seattle & King County Immunization Program. The Learning Collaborative is a quality-improvement initiative that aims to increase vaccination coverage rates for adolescents and teens in King County, WA. More details regarding the UW award.

The Best Shots for Kids Learning Collaborative program is a component of Best Starts for Kids, a Public Health - Seattle & King County initiative promoting "healthier, more resilient children, youth, families, and communities." The overarching goal of Best Starts for Kids is to improve the health and well-being of King County by investing in a comprehensive approach that includes "promotion, prevention, and early intervention for children, youth, families, and communities."

The Learning Collaborative will engage with health care providers to engage in training, webinars and other activities focused on quality improvement methodology and evidence-based strategies aimed at:

    1. Increasing endorsement of recommended adolescent vaccines, with a particular focus on the HPV vaccine
    2. Reducing obstacles to vaccination access and missed opportunities for vaccination
    3. Improving adolescent vaccination coverage in King County

Health care providers participating in the Learning Collaborative will include those in private and group health practices, school-based health centers, community health organizations, public health, and other adolescent primary care settings. Design of the Learning Collaborative program will be guided by a steering committee of adolescent and young adult vaccination subject matter experts and stakeholders.

Project Team

Janet Baseman, PhD, MPH
Principal Investigator

Rachel Winer, PhD, MPH

Douglas Opel, MD, MPH

Betty Bekemeier, PhD, MPH, RN, FAAN

Debra Revere, MLIS, MA
Project Director

Sarah Manchanda
E-Learning Manager

Sarah Cohen, PhD, MFA
Instructional Designer

Libby Page
PHSKC IZ Program Manager

Christiann Stapf
BSK Adolescent IZ Program Manager

1 WA State IIS Immunization (WA IIS) Rates as of 12/31/2016, Slide Set. WA State DOH, 02/2017. At:

* Recommendations recently changed to 2 doses for adolescents who start the series before age 15.