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 audiological evaluation and services, 299 items were listed by 49 coordinators, and themes were identified within each SWOT category. A threats, opportunities, weaknesses, and strengths, or TOWS, analysis yielded 12 recommendations that focused on similar themes. Out of these 12 recommendations, 3 distinct strategies emerged: 1) states need to address data management needs; 2) professional educational opportunities in pediatric audiology should be enhanced; and 3) funding opportunities for audiological services should be expanded. Addressed appropriately, these recommendations can substantially strengthen audiological services needed by state EHDI programs. (Contains 6 tables.)