Background:A hospital organization with multiple locations and departments is a dynamic organization, which has to deal with a large number of internal and external factors. For the purpose of providing good quality and an effective and efficient patient care, tailored to the actual needs of patients, the focus must be on continuous quality improvement. Therefore, a smart and transparent quality management system for employees and stakeholders is necessary, which is widely accepted in the organization.Method:To realize structure, coherence and easy accessibility of information about ambitions, results, developments and regulations, the Northwest Clinics (The Netherlands) implemented an integrated quality management system, called Northwest:How we Work, including The House with Achievement books and theImprove 2.0App.Results:The House with Achievement books is an instrument for employees, staff and managers to document all agreements that are essential for optimal patient care and management. The House demonstrateswhat you doand the Achievement bookshow you doin your department. In addition, the Improve 2.0 App with a digital tracking system to register points for improvement has been implemented to achieve structure, transparency and coherence in the multiple lists with action points.Employees participate in quality groups to understand the necessity and usefulness of an integrated quality management system, to realize acceptance and to contribute to an environment of continuous improvement.Conclusion:It is concluded that an integrated quality management system meets the criteria of the Plan-Do-Check-Act cycle and a LEAN approach for continuous improvement of quality in patient care and organization development. In addition, the system contributes to a more result-oriented organization.