Great passion with no follow through is not healthy. Many staff across all sectors of health care list sustainability and a healthy environment as important components of their core values. But the reality is that often in their department, their organization, and their community, they struggle to get traction, have their voice heard, or make a palpable difference. This session will be an open town hall meeting that will provide a framework for discussion while also leaving attendees with a sense of community and a path forward. Presented content will be limited but used as a baseline to stimulate discussion. Insights from a front line sustainability coordinator, a clinician in a large system, a former CEO, and a current advisor to CEOs will provide breadth and balance to both the presented comments and the dialogue.