Richard,
I probably shouldn't even comment as you have your work flow which works for you. In other words, you like to dictate, and you want your secretary to proofread it. I am going to apologize in advance if this is just a stupid answer your question since it really isn't. But, here goes:
At least in your situation sending the chart to someone makes some sense as that is the only way to get it proofread. I hear of others who send charts to nurses who send the charts to billers who send the chart back to the doctor who reads it and signs it.
I can give you two statements that are not coincidence. In over six years, I have never forwarded a note to anyone, maybe five times even to my inbox. And, I have never lost a note. My take on it is AC isn't designed to be like the other EMRs. It just seems to be designed to write the note and save it. I guess that is a huge advantage in typing. I realize, too, that your notes may be used when you reply to the referring doctor, so good punctuation, spelling and grammar is important. And, the spell check is not very good with AC. But, wouldn't you be better off dictating the note and checking it yourself? Or better yet, get the DNS more and more accurate so that proofing it isn't necessary. From my perspective, finishing the note while in the room will solve all your problems. Except, of course, your work flow.
