The congress “Hospital Management in time of crisis” was organised by the FHL (Fédération des Hôpitaux Luxembourgeois) under the patronage of EAHM (European Association of Hospital Managers). Over 400 directors and managers from hopistals all over Europe met on 28 and 29 of November 2013 to look for ways to combine efficiency and quality in healtcare as well as economic constraints. On the first day, Mr Paul Junck, President of the Luxembourgish Hospital Federation (FHL) and Mr Heinz Kolking, President of the European Association of  Hospital Mangers (EAHM), opened the two day congress of the EAHM around the theme “Hospital Management in Times of Crisis: Constraints, Challenges & Opportunities”. The Luxembourgish officials were also present. Mr Xavier Bettel, Mayor of Luxembourg City and Prime Minister (since 3rd of December 2013), mentioned the challenges that the healthcare sector is facing and the necessity to intensify the cross border cooperation. Mr Mars di Bartolomeo, the Minister of Health and Social Security, remined the specificities of Luxembourg and stressed the importance that doctors take part to the sustainability of the health care system by adopting a pragmatic approach when providing care to the patient. Mr Joel de Rosnay, the keynote speaker, invited participants to more flexibility: “hospitals have to move from a rigid structure to a flexible organisation where information can be traceable and available through networks”. Various presentations of 16 speakers, and 3 panel discussions enhanced the necessity to think globally by involving both, patient and medical & care units into the strategy. Key success factors are: positive spirit, good communication, proactive and innovative approach.