Chapter I: Coordination of developments in the healthcare system by the regional health agency

I. – The Director General of the Regional Health Agency coordinates the development of the hospital system, in particular with a view to : 1° Adapting it to the needs of the population and ensuring access to chargeable rates ; 2° Guarantee the quality and safety of care; 3° Improving the organisation and efficiency of healthcare provision and controlling its cost, in particular when the procedure described in article L….

For the purposes referred to in Article L. 6131-1, the Director General of the Regional Health Agency may ask public health establishments: 1° To enter into a cooperation agreement ; 2° To set up a health cooperation group, a public interest group or an inter-hospital medical federation as provided for in Article L. 6135-1 ; 3° To take a decision to merge the establishments concerned under the conditions set out…

If the request of the Director General of the Regional Health Agency referred to in 3° of Article L. 6131-2 is not acted upon, the Director General may also order the merger of the public health institutions concerned.

The Director General of the Regional Health Agency may ask a hospital involved in a restructuring operation to cut jobs and revise its multiannual contract of objectives and resources. The Director General of the Regional Health Agency may consequently reduce the amount of its funding for missions of general interest and assistance with contractualisation, as referred to in article L. 162-22-14 of the Social Security Code, or the appropriations for…

Regulatory measures, adopted by decree in the Conseil d’Etat, shall determine, where necessary, the terms and conditions for the application of this chapter.