The Ministry of Health (MOH) of Saudi Arabia employs corporate performance improvement methodologies in the development and execution of performance improvement initiatives. These initiatives are intended to further the Ministry's vision of transforming hospital operations and establishing a culture of quality and performance that is cantered around the principle of "patient first." The viability of establishing a performance improvement unit (PIU) within the MOH to implement change management techniques and Lean Six Sigma principles was assessed by researchers. Ensuring the creation of a performance improvement unit (PIU) within MOH directorates was the initiative's ultimate goal. With an emphasis on skill transfer, this unit would be in charge of developing patient pathways and best clinical practice processes to alter hospital operations. The goal would be to localize and entrench a performance-enhancing culture that prioritizes safety, efficacy, patient centeredness, and punctuality. This study aims to investigate how education and training might raise the standard of healthcare provided in Saudi Arabia's public hospitals.