The Biomedical Engineering Department at Niagara Health has gone through a peer review conducted by the Canadian Medical and Biological Engineering Society (CMBES) in September 2015. The peer review is a voluntary assessment where the quality of services provided by the Biomedical Engineering Department at Niagara Health is compared with the most current Clinical Engineering Standards of Practice. Before this review, a quality management system was implemented by the department. Upon review of the existing system in place, CMBES came up with 29 recommendations to improve on, for the next peer review scheduled for fall 2018. This article describes the strategies deployed to consolidate and improve the existing system by incorporating the recommendations of CMBES. The current system was amended, and new processes were developed to better serve the purpose, vision, values, and success factors of Niagara Health, as well as the 4 focus areas laid out in the 10-year strategic plan of the organization.