A report and recommendations for QA and accreditation agencies and higher education institutions: COL’s Review and Improvement Model (COL RIM) has assisted at least 13 institutions with integrating QA into their systems and processes. As quality is a matter of continuous relevance, COL commissioned a study to investigate the state of QA in open higher education institutions in the Commonwealth. This report offers some key insights and findings on how QA is currently being practiced in open universities in the Commonwealth, from the perspectives of policy makers, leaders and practitioners in open and distance education institutions. The lessons show that whilst the importance of QA is accepted as a strategic value by all, the standards of practice, criteria and measures differ considerably. There is also a growing concern over QA in new forms of teaching and learning, including eLearning, open educational resources and massive open online courses.