I stumbled across this at Seth Godin's blog recently:

Go find a geek. Someone who understands gmail, Outlook, Excel and other basic tools. 

Pay her to sit next to you for an hour and watch you work. 

Then say, "tell me five ways I can save an hour a day." 

Whatever you need to pay for this service, it will pay for itself in a week.

And I actually think there's a business in it.  Or, more precisely, a practice.  It would be hard to locate, manage, and organize a company full of people well-suited to the task, but the right person could do this solo in his or her spare time.  I already do, and I love it.