Top Five Healthcare IT Issues for 2010

Let's get all the Blog contributors working on a Top Five IT issues list for 2010. I will take the first stab and say:

1. ICD-10 Preparation
2. HITECH Act
3. EHR Interoperability
4. CPOE Integration
5. Impact on Healthcare Reform

So what do you think makes the list, should be added or should be #1?