Research evidence has shown that innovation systems play crucial roles in the sustainability of a country. Taiwan as a natural resource-restricted society with a unique situation should pay great attention to related topics. Regarding this, scientific and strategic foresight planning is engaged in order to be competitive and sustainable. An advanced plan with evaluation and police research was revealed in this study, which utilized DEA (data envelope analysis) to reform qualitative principles and quantitively evaluate 22 counties of Taiwan, exploring potential opportunities among the counties. Moreover, based on the findings, a rational suggestion of smart healthcare development was investigated to help in decision making. In comparing the practical evidence with results, we conclude following viewpoints: First, sometimes policies have to be made with limited data and time because of the rapidly changing environment, though an effective solution to consistently bridge the conceptual principles with quantitative results is feasible. Second we show quantitative results derived from qualitative principles that uncover missing phenomena from intuitive discussions. Third, by adapting the observation boundaries with variables, a new scenario can be exposed to meaningfully support decisions in new territories, including sustainability. Compared to intuitive decisions, scientific planning is fruitful according to social consensus in order to lay the foundation for sustainability.