The consent forms for surgery and research need to be for whole genome or even multi-omics sequencing. There a bazillion IRB protocols, and they all have their own consent form, wasting the samples on just 10 or 20 genes.

Which would require getting IRBs on board. Which requires working with IRB systems vendors, like iRIS. (google for "iRIS IRB system")

Also, beating iRIS would be nice.

Also, marrying CROs to investigators and vice versa would be super helpful.