The public trust and recognition on accreditation is so high that the recognition of the quality of higher education is determined by its accreditation status and rank. In order to realize the transparent public accountability, higher educations must actively build an internal quality assurance system and can prove that the internal quality assurance system has implemented well and correctly. The general purpose of this research is to find the development design of higher education quality based on The National Accreditation Board of University (BAN PT) accreditation standard before and after accreditation and prove the influence of accreditation for the development of study program at higher education. The method used to achieve the objectives of the research is through mixing methods of qualitative and quantitative. The research results show there is a significant correlation of the understanding to the Unimed policy with understanding the study program on accreditation form on standard items: human resources and financing, facilities and infrastructure, as well as information systems. while on standards vision, mission, objectives and goals, as well as achievement strategies, governance, leadership, management system, and quality assurance, students and graduates, and research, service/community service, and cooperation there is no significant correlation and so with the understanding of the study program toward the Unimed policy with accreditation value obtained from BAN-PT.