At the Technical University of Denmark, CDIO has been implemented in seven programs covering Mechanical, Chemical and Biochemical, Civil, Architectural, Electrical, IT, and Traffic Engineering. After the initial decision and launch of CDIO at the Technical University of Denmark, the challenge is: How can momentum be sustained in the organization so that all involved parties keep a continuous focus on CDIO implementation, evaluation of results, and adjustments to and further development of study plans and courses? What factors may contribute to this continuous process, and what challenges should be taken into consideration?