Sustainability is the ability to support the current population’s needs without damaging the future generations ability to provide for themselves. Sustainable processes use renewable resources, which allow the environment and economy to thrive. The products are often local because excess distribution creates excess waste. Locally grown foods can also be picked at the optimal ripeness, thus requiring less processing, and contain more nutrients as they are eaten closer to the time of picking. One major issue that is a priority for hospitals across the country is to preserve the effectiveness of antibiotics. About 80% of antibiotics (abx) in the US are routinely given to animals that are not sick. The abx are used to protect them from prevalent disease common in Concentrated Animal Feeding Operations (CAFOs) and to promote growth. This overuse is contributing to antibiotic resistant infections in humans. OHSU is committed to protecting the efficacy of antibiotics and keeping our community healthy by increasing our purchasing of meat and poultry raised without the use of these sub-therapeutic antibiotics every year. As the production of this type of meat goes up and cost comes down, we are able to support growers/ranchers that choose not to use abx. As of now, OHSU is using several products throughout the cafes