
What You Should Know
- General Dynamics Information Technology (GDIT), an enterprise business unit of General Dynamics announced the operational launch of PATH EHR, the new enterprise electronic health record system for the Indian Health Service (IHS).
- The initial go-live executed across three clinical facilities within the Lawton Service Unit in Oklahoma: Lawton Indian Hospital, Anadarko Indian Health Center, and Carnegie Indian Health Center.
- This first deployment immediately transitions 23,000 active patients to the new platform, serving as the operational proving ground for an enterprise rollout across IHS and tribal facilities serving 2.8 million American Indians and Alaska Natives across 37 states.
- PATH EHR is powered by the Oracle Health platform hosted in a dedicated, secure cloud environment, making it the first federal EHR system fully architected on cloud infrastructure.
The Federal Government’s First Fully Cloud-Native EHR
The deployment of PATH EHR establishes a major technological milestone within federal digital health modernization:
Built upon the commercial Oracle Health enterprise software core and implemented by enterprise prime contractor GDIT, PATH EHR represents the first federal electronic health record system architected and hosted entirely within a cloud environment. Unlike earlier federal EHR deployments that relied on hybrid or hosted physical server installations, the native cloud infrastructure provides real-time multi-tenant data synchronization across widely dispersed geographic jurisdictions.
The transition marks the beginning of the end for RPMS. By centralizing disparate facility databases into an integrated cloud schema, PATH EHR enables emergency department clinicians to query longitudinal clinical histories instantly during acute triage. In behavioral health, therapists and psychiatrists gain continuous access to shared clinical notes and progress tracking to coordinate care alongside primary care teams. Outpatient pharmacists utilize standardized, automated drug-drug and drug-disease interaction screening to dispense medications safely, while an updated, modern patient portal connects individuals directly to their lab results, appointment scheduling, and clinical histories across every connected IHS facility.
“PATH EHR is designed to keep ‘patients at the heart’ of health care and to modernize how health information is managed and shared across IHS,” said Mitchell Thornbrugh, Chief Information Officer at the Indian Health Service. “It begins the replacement of our Resource and Patient Management System, which has supported care for over 40 years. This is the first step in putting modern, connected tools directly into the hands of the providers who serve our patients and communities every day.”

