Using a stratified random sample and real-time virtual focus group sessions, we evaluated the regional administrative model, addressing personnel supervision, program direction, financial management, and administrative leadership. We concluded that the regional administrative model remains a highly charged topic, there is no common understanding of "region," the efficiencies and effectiveness of county operations have improved, and minor differences exist among groups from areas with differing population densities only with regard to the topic of administrative leadership. Implications relate to using a mix of formal and informal communication approaches, avoiding the consequences of long-term environmental turbulence, vetting the model at all organizational levels, and pilot testing prior to statewide implementation.