Sustainability requires constant Measuring, Monitoring and Managing:

*      The needs, requirements and expectations of the Key Stakeholders,

*      Customer experience and satisfaction analysis, evaluation and

*      Continuous professionally managed & communicated Improvement Programs, and

*      Total Quality Management throughout the supply delivery chain and

*      Performance Management: for an example of Health Care Balanced Scorecard

Trustable and Solid Leadership & Management to govern the holistic strategy, the delivery systems and processes, 3ARMS KPIs and Accountability is a critical success factor.