External and Internal Governance


KFSH&RC is undergoing a major transformation - to become a self-sustaining not-for-profit Independent Foundation.

Our transformation plans reflect the Kingdom’s Vision 2030 as it represents level 3 in the vision governance.

We have worked to define new initiatives that match with future with KFSH&RC as independent –Not for Profit Foundation and aligned with the strategic objectives of the hospital.  The aim of the initiatives for Transformation Program is to establish a healthcare model for KFSH&RC, which, by building on the success of the past, will create a path to excellence and realize our vision to be a world-leading healthcare organization through excellence and innovation. In order to deliver our initiatives, KFSH&RC is working with a number of external Government entities who are providing the structured oversight and direction that we require for success such as ADAA, Centre of Spending Efficiency, and Vision Realization Office.  Each of the abovementioned entity has to report the progress of the executional arms including KFSH&RC. 


Roles & Responsibilities


1 - KFSH&RC Transformation Program managed by the Corporate Transformation Office (CTO)

­The CTO is responsible for the execution of the Transformation Program and will coordinate and provide reports to the relevant Governmental parties.

2 - The Supervisory Committee for privatizing health sector

Assesses the technical, financial, legal and regulatory landscape. Ministry of Finance and National Centre for Privatization representatives are permanent members of the committee.

3 - Health Sector Vision Realization Office’s (VRO)

Their role covers planning, implementation, follow-up, and monitoring of transformational initiatives that relate to entities under its supervision. This includes tracking the progress of KFSH&RC’s implementation plans and continuously assessing our level of performance and quality. VRO works in coordination with other Governmental entities to facilitate and provide support as required.

4 - The National Center for Performance Measurement (ADAA)

Promotes transparency by measuring and monitoring the performance of concerned parties responsible for implementing programs and initiatives. ADAA actively engages the public in monitoring the performance of the various Vision 2030 implementation programs and relevant bodies by publishing performance dashboards and audited reports. It provides CEDA with a quarterly quantitative report and an annual qualitative report to enable them to take corrective action if required.

5 - The Delivery And Rapid Intervention Center (DARIC)

Assists with designing, implementing and achieving initiatives related to National Transformation Program (NTP). The Unit will also intervene, upon the request of CEDA, to resolve issues relating to the Vision 2030 implementation program. It also submits reports to SMO and CEDA on its assigned programs, projects and missions.

6 - The Centre of Spending Efficiency (CSE)

Supports Government entities in adopting best practices for spending rationalization, and in identifying opportunities to increase the efficiency of operational and capital spending.

7 - The National Center for Privatization (NCP)

NCP is responsible for executing the privatization of selected Government entities. To aid in this transition process and to ensure quality outcomes, NCP will formulate regulations, create privatization frameworks and prepare Government entities that are identified for privatization. The Center is charged with developing an efficient privatization process that targeted entities will follow to solicit and engage private sector participation (PSP) and to promote those opportunities internationally.

8 - The Strategy Management Office (SMO)

SMO is the executive branch of the strategy committee. Its role is to translate Vision 2030 into action plans and implementation programs. This includes supervising and monitoring the progress of programs, overcoming issues and problems brought to its attention and examining delayed or stalled initiatives.

9 - The Strategy Management Committee (SMC)

Supports CEDA in strategic affairs, proposing strategies for achieving Vision 2030 and translating them into implementation programs. The committee supervises the SMO, monitoring the implementation process, resolving issues and problems escalated that might impede the implementation of strategies, programs, and initiatives.

10 - The Council of Economic and Development Affairs (CEDA)

Their role is to establish the mechanisms and measures necessary for achieving Saudi Vision 2030, including presenting visions, directions and programs and deciding on any updates needed. It also makes decisions on any matter under its jurisdiction that could prevent programs from achieving their goals.




Internal Governance of the Transformation Program

Internally, KFSH&RC has developed an integrated program governance model. This provides an internal structure for managing all of the sub-initiatives planned and executed as part of the Transformation Program.

1 - Transformation Steering Committee (TSC):

Provide decision-making capabilities for items that have a major effect on the overall success, scope, timescale & budget of the Transformation Program and provide an escalation route for issues outside of Program thresholds as well as approving new projects.

2-  Corporate Transformation Office (CTO):

CTO oversees the Transformation Program and drives performance. The CTO acts as the focal point for the Transformation Program in coordination with all the divisions, departments, services and programs at KFSH&RC. The CTO will create the frameworks (including workshops, training and mentoring) required to support sub-initiatives owners, workstream leads and staff in delivering the Transformation Program. The CTO reports to the Transformation Steering Committee (TSC), which provides input and direction on Transformation Program Matters.

 For further information on the Transformation Program including its Governance Model, committees and frameworks, please contact the CTO office on cto@kfshrc.edu.sa  



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