Our young collaborative is a “learning organization” and a sage once remarked that we might experience the same problems over and over until our learning has advance beyond novice on the subject. After several “fits and starts” with the immunization Initiative, we are poised to begin at the NC Children’s Hospital at UNC. The new Nurse Manager, Cathleen Dehn, has agreed to work with our new Clinical Lead and graduate student, Megan Popielarczyk, Jason Blevins, also a graduate student and a representative from the NC Immunization Branch to pilot the program. Jason has already created several learning modules; the timeline, milestones and role definitions will be agreed upon within a month. The revised aim of this initiative is to prototype, pilot, and evaluate the enrollment of newborns into the NCIR prior to hospital discharge from the Newborn critical Care Center in the NC Children’s Hospital. We will be looking for additional NCCC’s to implement the initiative in the summer and fall of 2010.