Roger,
One other additional perspective, and this is hard to articulate, and is a bit ethereal.
17 years of hard work in the hospital and office, with multiple nurses till I stumbled into obtaining the nurse I have now.
Shortly thereafter, went out patient only and did away with hospital toil, went from paper to AC, then Updox.
I realize a bit of this has to do when the stars align just right at the proper time.
So, the tools are available to elevate one's efficiency in the office significantly, but there also is a component of the intangible that has to be present for things to come together just right.
I apologize if this is painfully obvious but after re-reading my posts above, I felt a slice of humble pie was in order so I do not come across as minimizing your problem and wish you well and continued success.
