Maria, interesting question but I am not sure what you mean, could you elaborate a little?
My only thought is that you refer to a QMS which is based around the departments of the organisation as oppose to one which follows the processes of the organisation - could that be it?
In my experience, it's whether the QMS is implemented at a grass roots level - that is 'the people are following the procedures' - compared to whether management use the qms as a strategic tool. Probably the vast majority of implementation is horizontal and not fully integrated as a combination of the two components...
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