What privacy and security issues are hindering the adoption of EMR systems?

The goal of protecting patient information privacy often conflicts with the goal of providing the improved healthcare that EMRs can support. Provisions in HIPAA provide some confidentiality protection, but not enough. Potential for a major privacy breach lies in the system of primary or secondary users.

What privacy and security issues are hindering the adoption of EMR systems? In your opinion, which of these issues is the most important to address first? Drawing on course readings or outside scholarly sources, support your answer with examples and clear rationales.