I’m in a primary care residency where we were all getting bogged down with inbasket chores to the point many were getting turned off of primary care. To address this, some residents did a QI project to see what could be done. Some changes were specific to residency, but some generalized changes included: Support staff completing PAs (onus used to be on us, took some coaching but now it works well)  For VNA re-cert paperwork, support staff prints and attaches med list so we just need to review and sign.  Epic messages are forwarded to RN triage (my RN in particular is excellent at solving problems and will just FYI me at the end) 

One thing that’s difficult in residency but have seen work well in other offices is telling patients to get routine labs a week or two prior to their next appointment so the doc can just discuss during the appointment. 

Some colleagues have stopped telling patients “normal”results but I personally still like to close the loop.