Our region is one that normally doesn't publish the list until the last team is eliminated from the playoff and I have no clue why.

The list of top 10-15 players would be separate from the all region list because all region is different for every region. I know in ours the first place team gets 4 and second place gets 3...and every team gets at least one.
If you asked me to make a list of the top 10 players in my region, the list would look a lot different.
If we got all 6 coaches to submit a list and gave 10 points for a 1st place vote, 9 for a second.... and calculated the points to come up with a list of the overall top 10, it would be a better representation of a true all state team.

Our region also doesn't give out player of the year.

As mentioned, I was just throwing out ideas. Please like to talk about a broken system and criticize the process but don't try to come up with solutions.