Under pressures of increased demands for public accountability and decreased resources, the State University System of Florida has responded by fusing existing program review procedures with accountability reporting. The State University System began program review in the mid-1970s and found it most valuable internally for the individual universities and their governing boards particularly in advocating for faculty and students needs. By contrast, accountability reporting for the entire system began in 1991 at the behest of the state legislature with an adversarial thrust stemming from a core sense that faculty were not working hard enough. An original 50 accountability measures were eventually streamlined to 9 objectives and a resulting merger of review and accountability reporting has resulted in less paperwork and reporting and the opportunity to merge quantitative outcome indicators with process-oriented qualitative measures of excellence leading to an enfranchisement of all stakeholders. The program review has shifted emphasis from one of enhancing quality and programmatic offerings in a political climate favorable to higher education to quality assurance under diminishing resources, demands for increased access, and increased societal criticism of higher education and to ways to bring about these changes while protecting the integrity of academic programs. Overall, program review offers the significant advantage of addressing accountability concerns in a responsible manner that takes into account the complexities of academic programs. An appendix lists the original 50 accountability measures. (JB)