For more than a decade, quality development in the Danish healthcare sector has been managed with an accreditation system known as the Danish quality model (DQM), shaping the strategy for how to align work organisation with technology use. In this article, we introduce a participatory design approach, known as effects-driven information technology development (EDIT), and discuss how this approach may contribute to a new quality-assurance program for the Danish healthcare sector. Our purpose is to demonstrate how accreditation, which focuses on processes and standards, needs to be supplemented and balanced with participatory approaches that allow for local experimentation and implementation of high-quality outcomes. We describe accreditation and participatory design as two approaches to reconfiguring and aligning work organisation and technology; further, we emphasise the differences in each approach’s strategy and application.