On November 18, 2016, the Minister of Health signed the Decision No. 6858 / QD-BYT promulgating the Vietnam Hospital Quality Standard, version 2.0. The criteria set includes 83 official criteria. The same criteria as version 1.0 but with the experience, modifications and additions on the content criteria and upgrade the difficulty level from version 1.0. Many criteria are added to new sub-categories and require more stringent requirements. As a result, the average GPA of 2016 will be 0.3 to 0.6 points lower than in 2015 for quality hospitals.