Zima, the EHR are the same from 10 yrs ago, the name have just changed.
Too many password, yes this is an issue everywhere, but security is also an issue. Most of these HIT system are not true enterprise systems, until that happens there will be multiple passwords

Process take longer, any new process or tool alway takes longer than the one you know.

Interfaces - yep, 10 yr old interfaces, they suck.

Changes - It is a problem when you want the system to get better, changes do slow, Vendors need to think about the ROI of the change

same issues as 10 years ago..