Based on results of the pilot project in Boston, the model was replicated at five additional sites: Nevada/Placer County, Calif.; Lowell, Mass.; New York City; Wake County, Raleigh, N.C.; and Norfolk, Va.
- The Lowell and Wake County sites institutionalized full services based on the Boston model.
- Nevada/Placer County replicated parts of the program.
- Norfolk concentrated on developing a management information system for children with chronic illness.
- The size and complexity of the New York school system proved a challenge, and the New York project took only small steps toward replicating the Boston model.
The grantee organization produced a revised edition of a manual it had developed earlier—Children and Youth Assisted by Medical Technology in Educational Settings: Guidelines for Care—to support the replication efforts of the project.