Since implementation of Medicare's prospective payment system, the emphasis of medical peer review organization (PRO) activities is quality health care in the appropriate setting. The Texas Medical Foundation's dedication to quality health care is evident in its quality review, in its information to the medical community, and in its challenges for physicians to utilize contemporary techniques in medical practices. TMF is committed to the integrity of the medical profession and to its role as a physician-directed means of assuring efficient and quality inpatient services. TMF hopes that physicians will view the PRO for what it is: an advocate of excellence in the medical community.