The global budget is made up of an activity-based prospective payment involving systematic DRG grouping and case-mix adjustment for inpatient and ambulatory surgery (the DRG component accounts for nearly 50% of hospital financing), while the remaining hospital revenue comes from fee-for-services (for outpatient and emergency visits), bundled payments (for some chronic conditions), and some quality-based payments. Since 2011, each hospital has to establish a three-year action plan for hospital reorganisation with the Regional Health Authority so that reform implementation can be continuously monitored by regional authorities. Overall, the results of the past and ongoing hospital reforms have had positive impacts on both quality and efficiency (OECD, 2015c).