Abstract
The aim of the current study is to investigate the impact of leadership of health care organizations on improving the efficiency, effectiveness and safety of their quality system and program. For this purpose data was collected from health care managers, directors of PHCs and hospitals of Saudi Arabia. Total 372 completed questionnaires were received and analyzed in the study. Non probability snow ball technique is used. PLS-SEM is used to analyze the data. Measurement model is developed to check the reliability and validity of the scales. It is found that scales are found reliable and valid after deleting two items from efficiency, two from effectiveness and two from safety. Structural model was run using bootstrapping. It is revealed that all the hypotheses are accepted and leadership of the hospitals and health organization has important role in improving quality of the services provided to hospitals.