After more than a decade of groundbreaking work, the Oregon Child Absenteeism Due to Respiratory Disease Study (ORCHARDS) has concluded. Innovation in ActionORCHARDS adapted quickly to the onset of the COVID-19 pandemic in 2020. The team pivoted to self-swabbing and contactless drop-offs and trained school health staff in rapid testing—efforts that helped maintain momentum and public health surveillance. From school science nights to National Night Out events, the ORCHARDS team made it a priority to engage with the public. The data collected through ORCHARDS will continue to inform public health policy and pandemic preparedness.