Introduction: Dalarna University and the Nursing programme have performed eLearning for a long time and our feeling was that we are good in providing high quality eLearning. However, we wanted to benchmark the education against quality standards for a more objective quality assessment and thus as one of the first Nursing programme in Europe we performed an analysis of the education with support of European Association of Distance Education Universities (EADTU) system. Background and aim: Today, e-learning becomes more established in higher education providing new pedagogical possibilities and support for competence development. This has impacts on students’ and teachers’ roles and responsibility for learning, creation of learning content and activities and forms for interaction. However, it is necessary to assure the quality of eLearning environment and experience provided to the students. The aim of this paper is to describe a quality improvement process regarding eLearning of a Nursing Programme conducted in a blended learning environment. Methods: A systematic Benchmarking process with a bottom-up approach developed by EADTU was used to assess the quality of eLearning. Results: A need of strategies and work processes regarding management, development, implementation and evaluation of eLearning was identified as well as directions regarding teachers’ competence and continuing learning. The awareness of strengths and weaknesses in the nursing programme in relation to eLearning has provided incitement for a continuous quality work. Conclusions: It is essential to have knowledge about the quality of higher education concerning structures, processes and results. Benchmarking can function as a tool to initiate a process of heightened awareness and ongoing quality work. Benchmarking with a bottom-up approach could be a fruitful way of enforcing and maintaining high quality in higher education.