—front desk triage— “I’m sick” Is the problem with your chest? (wheezing, shortness of breath, chest congestion, tightness or cough) Yes --to RN No “The doctor will stay late today or come in early tomorrow to see you” Patient accepts --schedule in “ill overflow” slot Patient declines --remind that can see Primary Care Provider or ER Patient accepts --document “phone encounter” in EMR Patient asks to speak to RN --to RN