Background: Customer demands related to quality service quality with fast, transparent, flexible services are getting higher, stronger, dynamic, and more complex. Hospitals need to carry out accreditation and innovation to exist in the midst of demands and competition. The purpose of this research is to explain and describe the implementation, and strategy of innovation and accreditation in hospitals. Materials and methods: Qualitative research with a phenomenological approach, with informants from structural officials, heads of installations, innovation teams, doctors, nurses, and patients with a total of 20 people. Collecting data with interviews, observation, and documentation. The research was conducted from March 2022 to March 2023. Results: The implementation of accreditation includes preparation, implementation of activities, assessment, and post-accreditation. Hospital accreditation includes hospital management groups, patient-focused services, patient safety goals, and national programs. The sustainability and consistency of the implementation of hospital accreditation activities are influenced by several things, including the perceived benefits, political value for the owner, the use of information and communication technology, accreditation regulations, collaboration, and integration of all elements. Innovation is carried out utilizing meeting problem acquaintances, accommodating unit/installation innovation designs, forming an innovation team; mentoring, training, and innovation competitions. Accreditation and innovation strategies include making regulations on decisions by owners or regional heads, synchronization with strategic plans, ongoing technical guidance or guidance, monitoring evaluation and regular reporting, surveys on compliance with policies, guidelines, guidelines, and standard operating procedures, and development of regular assessments. hidden, a statement from the hospital leadership to carry out accreditation and innovation. as well as team collaboration Conclusion: Accreditation and innovation improve service quality, speed, and efficiency. Strategy adaptation is needed so that accreditation is sustainable and fosters a culture of innovation.