In an era where health policy issues are highly complex and divisive, we’ve maintained our commitment to working with a broad array of stakeholders to develop consensus solutions to tough policy challenges.

Our work spans topics including medicine, healthcare, food and nutrition, workplace safety and health, environmental health, and chronic and infectious diseases.

For more information about our health program, contact Brad Sperber.


Featured Health Projects

CO Personal Belief Exemption Policy for Vaccinations

Colorado’s Personal Belief Exemption (PBE) policy for immunizations allows children to be exempt from state mandated vaccinations by submitting to the student’s school a Certificate of Immunization with the statement of personal exemption signed by the parent(s) or the emancipated student indicating that they have a personal belief that is opposed to immunizations.

Currently, PBEs are the primary reason for exemption in Colorado, which has among the highest rates of PBE in the nation. The ease of obtaining PBEs may play a role in the high rates of vaccine preventable diseases. In states like Colorado, where parental signature alone is sufficient to claim an exemption, the incidence of pertussis (whooping cough), for example, was 41 percent higher than in states with more restrictive methods.  

The mission of the Colorado Department of Public Health and Environment (CDPHE) is to protect and improve the health of Colorado’s people and the quality of its environment. Along with its partners throughout the State, CDPHE embarked on a collaborative process to better understand the current knowledge, attitudes, and beliefs around immunizations and exemptions in Colorado.

CDPHE, along with the Colorado Children’s Immunization Coalition (CCIC), an independent, nonprofit 501(c)3 organization whose mission is to strategically mobilize diverse partners and families to advance children’s health through immunization, partnered with The Keystone to plan and implement a stakeholder engagement process designed to ensure that stakeholders fully understood the current state of PBE attitudes and opinions, participated in in-depth discussions on current PBE policies and practices in Colorado, and generated policy and/or rule change recommendations on Colorado’s PBE system.

These recommendations were submitted to CDPHE in this final report.

For additional information about this project, contact Johanna Gibbs

The Research Integrity Roundtable

The Research Integrity Roundtable, a cross-sector working group convened by The Keystone Center, an independent, neutral facilitator and convener of policy conversations, has identified and recommended key procedures, policies, and protocols to help to improve the scientific processes underpinning important regulatory decisions.