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 the medical home is integrated into the EHDI process, 273 items were listed by 48 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. Specifically, states should: 1) utilize chapter champions to expand educational outreach to other health care providers, primary care physicians, medical homes, and residency training programs; 2) recruit several chapter champions to represent different areas within medicine as well as across the state; and 3) improve data management systems to allow for easier reporting and to alert the medical home/primary care provider about newborn hearing test results. Addressed appropriately, these recommendations can significantly strengthen medical home integration in state EHDI programs. (Contains 6 tables and 1 footnote.)