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No one strategy for identifying key partners stood out among the members of the State Coalition Workgroup. Generally, either the state public health department or the state aging unit took the lead to meet with their counterparts to discuss an overall fall prevention strategy. Often the discussion was precipitated by the rising costs of Medicaid and/or growing injury rates. Once the associates reached a mutual agreement over the need to address the issue of falls, a variety of key leaders in academia, the medical community, and state government structure were asked to join the discussion of specific state strategies and to form a core leadership and exploratory team. In other instances, large community-level efforts led the charge to bring in state level leadership. But first, the case had to be made that fall prevention was a priority among all of the competing state prevention interests.