The book gives an insight into how the quality of health care may improve through the model of knowledge management and a multi-contingency approach to organizational design. The author assesses the relational triangle between knowledge management, organizational design, and the health system in Montenegro. Montenegrin health care system is presented through macroeconomic, managerial, and organizational-legal factors. The author focuses on the importance of knowledge management, leadership, organizational strategy, structure, culture and climate of health organizations. The author’s research covered public and private health institutions of Montenegro and included data collection from managers, union members, doctors, technicians, and finally, users of health services. A special part is dedicated to organizational challenges in the context of COVID-19 pandemic. The author explains how political agenda confronted with knowledge and profession and made Montenegro found itself in downward spiral in its fight against the pandemic. An abundance of diverse approaches to the quality of health services – from the point of view of service providers and users, decision makers and employees, management and trade union representatives, and private and public sector, makes the book stimulating and useful for professionals in health management, policy makers, patients, and the general audience.