Simple enough. I rarely get vitals on a patient for a post-op appointment so the front desk person never opens the chart. I'll have her just open it and send it to me when they check in. I guess we don't routinely do this because, for new patients, all of the PMHx is put in after clinic by the MA then she forwards it to me (which is why I rarely forget to chart on a new patient). With follow-ups, the just never get opened by the staff.
Funny how I've used AC for 7 months now and I still haven't perfected my workflow. Drives me crazy. Lived with paper for too long so adapting to the computer is a slow process.