Outcomes and direction for the 1998 Regional Environmental Summit and Voices & Choices, a 14-county collaborative effort in 1998 in North Carolina and South Carolina to address environmental challenges. Key areas for regional collaboration identified included a shared Vision, Mission and Goals for Voices & Choices, and focus in key areas air quality and transportation, water quality, land use, open space, resource recovery. Tools for change identified include education, regional cooperation, balance the economy and the environment.