How to audit and report file and folder access

So, I've searched the knowledgebase and came up with a few ideas, but what I'm really looking for is a "best in class" way to BOTH audit and report on user access to files and folders.  

--Have 2003 & 2008 servers
--In a HIPAA environment
--Servers have auditing turned on
--Could use eventdump to export the event logs

BUT, that process produces massive amounts of data - not information.

Sure, I could charge the client by the hour to convert the mass of data to info, but that wouldn't last beyond the first invoice.

I'm looking for:
--who accessed what
--when
--some degree of what they did with whatever they accessed

There's got to be a better way that doesn't break the bank.

Ideas?
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jgutmanAsked:
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alreadyinuseConnect With a Mentor Commented:
Scriptlogic File System Auditor, resonable in cost and does pretty much what you are asking.
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jgutmanAuthor Commented:
Good answer, good tool, but expensive!
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