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Mac EMR Software | A Guide to Medical Software for Apple Computers

By: Chris Thorman

Market Analyst, Software Advice
on 5/18/2010

9 Comments 
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Is it possible that the next time you go in for a checkup you and your doctor will be lamenting over Microsoft while updating your medical records on Safari?

We’re hearing more and more questions about Mac compatibility from physicians interested in electronic medical records (EMR systems). Many providers, notably smaller offices, are choosing Apple computers over PC-based systems to run their practice. Their reasons are the same reasons consumers choose Mac products: stability, simplicity and “coolness.”

On the surface, it appears that Apple’s popularity in the consumer market is starting to creep into the medical practice market. Physicians like their home Macs and their iPhones, so they want the same hardware in the office.

A Limited Selection of Mac EMRs
Unfortunately, a physician wanting to run EMR software on a Mac is going to find a limited number of choices. Over 95% of the EHR software on the market won’t run natively on a Mac.

Most EMR software vendors haven’t developed a Mac OS-specific version of their software. On top of that, many of the web-based EMR vendors don’t provide support for the the most popular Mac web-browsers such as Safari, Firefox and Chrome. And if a physician wants to run EMR software from any of the top ten most popular EMR vendors, they’re out of luck. None of those vendors support Macintosh computers.

However, for the Mac diehard, there are a number of solutions. Here are three ways that a physician can start running EMR software on their Macintosh computer:

EMRs Built for the Mac
Relative to Windows-based systems, EMRs designed to run on Mac OS represent a fraction of the overall EMR software market. Only a handful of the over 300 EMRs available are designed exclusively for Mac OS.

If a physician wants a truly Mac-based EMR, built for Mac OS, this is the direction they want to go in. Here is a list of the native Mac EMRs we found in our research, along with the size and types of practices they are designed for:

ProductSpecialities Served Target Number of Physicians
Mac PracticeAmbulatory care, chiropractic, dentistry & optometry practices1-50+
PowerMed SoloMany specialities1-50+
Practice SolutionsMost specialities1-50+
Spring ChartsMost specialities1-25
Meridian EMR
Urology and General Surgery1-25
ComChartFamily practitioners & internal medicine subspecialties1-25
Life RecordMany specialities 1-10

Since these systems are designed specifically for Mac OS, that means they’re going to have a Mac look and feel to them. They’re installed either through a download or from a disc, meaning they are on-premise software systems. The install exists on a doctor’s physical machine, and not “in the cloud.”

Advantages of using on-premise EMR software for Macs include:

  • The same familiar Mac look and feel;
  • Less risk of performance degradation from “Windows emulator” software; and,
  • Easy integration with other Apple software products.

The downsides of these products largely result from the fact that the Mac-based products are developed by smaller companies (largely because they service a smaller market – Mac users). These downsides might include:

  • Smaller software companies may be less viable in the long term;
  • They may have limited R&D budgets; and,
  • They may get left behind as “the big names” race to meet new EHR requirements.

Web-based EMRs – A Great Alternative
Web-based EMR software is a growing segment of the market and one that is appealing to physicians in a wide range of specialties. Because web-based EMRs don’t depend on a specific operating system, a physician needs to only have a compatible web browser (Safari or Firefox for example) on their Mac to access the software online. There’s no installation of software on a physical machine; all data is hosted in the “cloud.”

The number of web-based EMR vendors is rising but unfortunately only a handful have optimized their software to run on a Mac-based web-browser. Here are the web-based EMR products that will run on a Mac:

ProductSpecialities ServedTarget Number of Physicians
AllegianceMDMost specialities1-50+
NueMD CompleteMost specialities1-5
Practice DirectorOptometry practices1-10
Practice FusionMost specialities1-10
PsychNotes EMRMental & behavioral health practices1-50+
Sevocity EHRMany specialities1-10
Valant Psychiatric EMRMental & behavioral health practices1-6
VeinSpec EMRVascular & phlebology practices1-5

Also known as Software-as-a-Service (SaaS), the web-based model of software offers a number of advantages over on-premise systems:

  • No physical install of the software on a machine;
  • System can be accessed from any computer with a web browser; and,
  • Upgrades are pushed out automatically by the software vendor.

Another quasi-web-based option is to remotely access another machine running EMR software. This has potential security concerns, as well as possible performance issues, but some physicians are doing this. They’ll access a Windows-based EMR through their Mac web browser or Mac-based remote software.

Run Windows-Based EMRs, On Windows, On a Mac
The final way that a doctor can run EMR software on their Macintosh computer is through a virtual machine. This involves running a separate program (Parallels, VMWare, BootCamp) that mimics a Windows operating system on a Mac machine. This process is simpler than it sounds, with today’s virtual machine software being relatively easy to install and set up.

Advantages of going the virtual machine route include:

  • Being able to run any Windows-based programs on a Mac;
  • Seamless transition between Mac and Windows programs on one machine; and,
  • Elimination of compatibility issues between Mac and Windows files.

The downside of this approach is that you will have to buy licenses of Microsoft Windows and you will have to run the EMR on the Windows OS. You won’t be using a native Mac OS application. However, as we said, it is fairly easy to toggle back and forth between the Windows EMR and your other Mac applications.

This option is appealing for practices that don’t want to give up their Windows EMR, but want to move to Apple computers.

An Eager Market Awaits
We’re a Mac office if you will here at Software Advice. Each employee has a iMac and we purchase Apple or SaaS software whenever possible. Actually, we use a lot more SaaS systems than on-premise Mac software. That’s why we hope that the leading EMR software vendors, both on-premise and web-based, can open up the market to those who want to use Apple hardware in their practices.

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9 Comments

There’s another way that is new. Citrix has a special program that runs on the Ipad that allows the virtual windows desktop to run on the Ipad. That may be a way to do it more in the future as the touch OS gets more popular and spreads through the Mac line in more creative ways. Check it out by Googling Citrix.

Comment by Mark Ahlquist
May 19, 2010 @ 5:25 pm
 

@ Mark

Thanks for the heads up. I snuck in a mention of remote access in the article but Citrix access is definitely another option.

Comment by Chris Thorman
May 19, 2010 @ 6:12 pm
 

What about “Open EMR”? And it’s free!

Comment by Robert
May 19, 2010 @ 10:39 pm
 

Chris – Thanks for the compilation of available products. It is interesting to think that the current products out there really have a leg up on future competitors. With the financial incentives turning into penalties in 2015, medical facilities will be urged to select and implement EMRs quickly.

I followed up with extra comments in a blog article: http://blog.amistaff.net/incentives-for-adoption-causing-hasty-emr-decisions/

Hope you can check it out!

Comment by Meredith Juengel
May 21, 2010 @ 12:34 pm
 

Another option is to use Microsoft’s free Remote Desktop Connection, which allows you to connect to a Windows Server without the CPU overhead of running VMWare or Parallels. Citrix is similar (more fully featured I think).

These Apps let you run most ‘Windows’ programs, including Greenway, Allscripts, etc.

You can also run RDC or Citrix on the iPad, which is really a slick solution.

http://www.microsoft.com/mac/products/remote-desktop/default.mspx

http://www.citrix.com/English/ss/downloads/details.asp?downloadId=1862769&productId=163057&c1=ost12726

http://itunes.apple.com/us/app/citrix-receiver/id313735334?mt=8

http://itunes.apple.com/us/app/remote-desktop-lite/id288362576?mt=8

http://en.wikipedia.org/wiki/Remote_Desktop_Protocol

Comment by Bob
May 25, 2010 @ 9:50 pm
 

Succinct article. Thank you.

Another option is to run an IVO Appliance which allows for HIPAA-compliant, secure desktop virtualization and remote access for both work inside and outside the facility. Far less cumbersome and expensive than Citrix or VMware (and without the multiple OS licensing and instances sitting on an additional server somewhere), the IVO Appliance will allow access on any machine, regardless of the end machines capabilities (even on a 486 running Windows 95 with 128 MB of RAM), but, most notably for you, even across Safari on a Mac. I personally run IVO sessions on IE (6,7 & 8), Safari, Opera and Chrome.

The curse of Terminal Server in the medical environment is that the applications are so thick that if two people push “ENTER” at the same time, the system bogs down due to CPU Utilization issues.

IVO Appliance addresses all those issues at a fraction of the cost of Citrix or VMware while alleviating the technical limitations of MS TS (MS Terminal Server).

Comment by Jeff Thompson
May 31, 2010 @ 5:31 pm
 

Chris, thank you for this helpful article. We are seeing an increasing number of Mac users sign up for the Valant EMR due, in part, to its web-based nature. In the interest of being completely transparent, I would like to add that customers who choose to add on our ePrescribing module must be able to run Internet Explorer on their computer. This is because our ePrescribing partner currently only supports IE – something we are hoping to change in the near future. So for the time being, our Mac ePrescribing customers use another one of your suggested methods: running virtual PC software on their computer. We have found that Parallels works well for this purpose. You can find more information about the Valant EMR at http://info.valantmed.com

Comment by Soraya Hareez
June 3, 2010 @ 5:26 pm
 

You did not list our product as a native Mac product, which it is. Many of our physicians use Macs in their office or their home, We are the market leader in Urology EHR with over 800 Urologists and have a superb product for General Surgeons (a few have Macs and we will be interfacing to MacPractice PM)Breast Surgeons, Bariatrics, etc.

Comment by Larry Drappi
June 4, 2010 @ 6:45 pm
 

The most inexpensive IVO appliance is $4000 I dont see how that is “a fraction of the cost” I have been using terminal server on Windows server for years with no bottlenck problems! Maybe that is a solution for a very large office/hospital but I am sure they have an it department.

Comment by Dranon
June 27, 2010 @ 7:17 am
 

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