Six lines of work where a document goes out and the silence afterwards is expensive.
Send the proposal as a link, and follow up on evidence instead of on a calendar reminder.
Send the module as a link and find out who actually worked through it.
Give a patient the guide as a link, with a pincode on it and a record that it was opened.
Circulate the brief with the controls the contents deserve, and a log of who opened it.
Know the quarterly went out, went in, and how long the client spent with it.
Hand a spec to a client or a contractor and see whether it was read before the work starts.
The tracking is the same either way. Only the workspace changes.