High school physical education programs in South Carolina have undergone a major reform effort which was implemented through extensive staff development called the Physical Education Institute (PEI). How to teach toward student performance indicators became the focus of the in-services. This study identified factors that facilitated or hindered implementing the performance indicators, and examined the extent to which key players from three selected programs of secondary physical education were able to achieve the goals of the reform effort. Data were collected through interviews, document analysis, and videotaping lessons. Results reveal that “lead teachers” facilitated the extent to which programs met the goals of reform. The teaching/coaching role conflict was a main hindrance. Each school and teacher met each of the student performance indicators to varying degrees. Implications include the need for a shared reform, holding teachers and students accountable, and the need for administrators and university faculty to be involved.