A couple of practices I know use a scribe... an actual hired person to go into the room with the provider and do it all. That sounded so counterproductive when I heard about it... after all, the whole point was to REDUCE staff... but maybe you can convert a chart filer into a scribe. As I said in starting my "Emperor's new clothes" rant, maybe the reduction in work load theory is a fantasy, just like "computers will eliminate the need for paper"...Perhaps the increase in productivity makes up for the increase in labor costs.