State coordinators of early hearing detection and intervention (EHDI) programs completed a strengths, weaknesses, opportunities, and threats, or SWOT, analysis that examined 12 areas within state EHDI programs. Related to how EHDI programs address loss to follow-up, 47 coordinators responded with 277 items, and themes were identified in each category. A threats, opportunities, weaknesses, and strengths, or TOWS, analysis yielded 12 recommendations that focused on similar themes. Out of these 12 recommendations, 4 distinct strategies emerged for decreasing loss to follow-up: 1) expand relationships to further develop the EHDI system; 2) continue development of comprehensive integrated data systems; 3) refine reporting, tracking, and follow-up protocols; and 4) increase the access to services in underserved areas. Addressed appropriately, these recommendations can reduce loss to follow-up in state EHDI programs. (Contains 6 tables.)