The reality that the KSA healthcare system was unable to control the virus's spread and the associated mortality rate created several managerial and clinical challenges for the industry. This emphasizes the necessity of setting up efficient and useful guidelines, policies, and processes in healthcare systems to prepare for crisis management during a pandemic like covid-19. the study aims to identify effective, resilient, health policies to fight against health crises and some changes accrued in health management and services in the healthcare sector and to determine the effects of the covid 19 pandemic in the Kingdom of Saudi Arabia the study utilizes a cross-sectional method on on 500 health care employee on Hafar Al Batin Central Hospital the result Shown Challenges that affected the healthcare management team on personal and hospital levels the most important healthcare management input that was unavailable during the pandemic was the level of preparedness for covid-19 and future health emergencies Strategic measures are being taken to minimize the spread of covid-19 Changes that have occurred in Saudi Arabia's healthcare institutions in preparation for future health emergencies introducing different health and safety measures, processes, and procedures. However, managing the number of infections and deaths reported within the country was still a significant challenge identifying key challenges and difficulties faced by healthcare managers in preventing the further spread of the virus and protecting the uninfected patients and the healthcare workers in KSA, identifying. The study will also contribute to the existing literature as it has identified key strategies and policies that have been put in place by healthcare institutions in preparation for future pandemics and health emergencies.