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Organize the Start screen
The complaint I hear most about the Start screen is that people want to go as quickly as possible to the desktop. If you're in that camp, drag the desktop tile from its default position in the lower right corner and drop it at the top of the first column.
Whatever tile is in that spot is the default choice when you go to the Start screen, which means you can get to the desktop by pressing Enter as soon as you see Start.
If you have other programs you want to get to quickly, move them into position underneath that primo spot, and then use arrow keys to navigate through the list, pressing Enter after you select the program you want to open.