Regarding the flow from MA to provider; we have just implemented computers in all the exam rooms and since we have multiple providers and multiple MA's it is easy for an MA to forward to the wrong provider. Or, sometimes the scheduled provider gets busy and another provider offers to see the patient.
So, we have all the intake folks input their data into AC and then log out using the 'windows' +L keys. Then when a provider logs in they are immediately at the note. Then they either complete the note during the encounter or forward it to themselves. So far, it's working pretty well. I have not yet found a downside.
Of course, the first day we implemented the exam room computers one of our nurses did not log out and when the provider entered the room, the patient was purusing someone elses MR. Yikes!