Since the implementation of the computerized PPCR's, our Emergency Department has experienced a significant decrease in written documentation from the pre-hospital providers when they deliver the patient to the hospital. Any medication delivered to the patient or procedures done prior to arrival is often given in a brief verbal report, but no written documentation is left behind. Often questions regarding amount of medication, time medication given, amount of fluid given, ect. goes unanswered because the EMS agency has left the hospital. This is a patient safety issue, but with the current regulations there is no enforcement to leave written documentation at the time of patient delivery because the provider has 24 hours to get that information to the hospital. 24 hours may be too late for many patients.