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. For the early intervention focus question, 48 coordinators listed 273 items, and themes were identified within each SWOT category. A threats, opportunities, weaknesses, and strengths, or TOWS, analysis yielded 8 recommendations that focused on similar themes. Out of these 8 recommendations, 3 distinct strategies emerged. Specifically, states should develop 1) an appropriate and effective eligibility and referral process to early intervention services; 2) a state advisory board or coalition group to identify funding needs and barriers, and to make recommendations; and 3) effective data management systems with reporting of data to key stakeholders. Addressed appropriately, these recommendations can strengthen access and entry into early intervention services through state EHDI programs. (Contains 6 tables.)