This presentation was delivered by Monica E. Oss, Chief Executive Officer, OPEN MINDS on February 16, 2018, at the 2017 OPEN MINDS Performance Management Institute. In the presentation, Ms. Oss reviewed highlights from the week’s events, summarized the key takeaways from the institute agenda, and discussed the sustainability challenge for health and human services organizations and how organizations can solve that challenge. Her session also covered how to: Build a leadership team that brokers new ideas, drives change using organizational pressure, and takes risks to manage the new competition Strategically incorporate . . .