South Eastern Norway Regional health Authority is a merger between the former Eastern and South regional Health Authority. Responsible for secondary healthcare services for the south-eastern parts of Norway 2.5 million people (approx 52% of population) cost containment budget 58 billion Nkr. 100% state-owned trust with full legal and financial responsibilities, own board and non-political CEO/management. Integrated payer and provider with a two-fold responsibility: Own and operate hospitals as efficiently as possible Provide region with high quality secondary care services (through own hospitals, private hospitals or hospitals in other regions) Ambitious turnaround program with 5 main elements; Hospital structure and service reconfiguration, Research strategy, IT and support services, Best practice management Mobilizing staff and leaders