Sara Wohlford, MPH, RN, Efficiency & Sustainability Manager, Carilion Clinic. Healthcare organizations are realizing the many benefits that come from sustainability programs: efficiency improvements, increased employee recruitment, engagement, and retention, public or population health, greater stakeholder satisfaction, public relations gains, and cost savings. Sara describes her journey from frontline, bedside nurse in the Emergency Room, through conceptualizing and proposing her current position, to facilitating and coordinating programs for the Carilion Clinic healthcare system that reduce inefficiencies and waste and promote environmental sustainability.