CCAAs manage their own healthcare budgets and issue calls for tender for their care centers. They can base their decisions on certifications from medical technology assessment agencies.The IT and/or innovation departments are their points of contact.
In addition, CCAAs often have their own healthcare innovation hubs. These bring together local ecosystems and make facilities available to innovation initiatives.

Hospitals supply their own medical devices.They have a budget, in which public subsidies have a pre-eminent share, which enables them to choose their own devices. They are a third gateway to the Spanish marketfor the release of a digital health device or product. More than half the hospitals in Spain are private. This system is supplied independently of the public system.

Spain has developed a strategy for an entrepreneurial nation to generate a new economic and social model, on three interconnected levels: innovative entrepreneurship, driving sectors of the Spanish economy, reducing social gaps.
This program is developed in partnership with the platforms ENISA, for the financing of innovative companies and its digital business section, RED.ES for the promotion of the digital agenda in Spain and particularly for health and social services, and finally ICEX for the internationalization of companies.

The Secretaría General de Salud Digital, Información e Innovación del Sistema Nacional de Salud is responsible for handling projects to modernize, innovate, improve and transform the national healthcare system, particularly those related to digital health and information systems. Together with the autonomous communities, it coordinates the execution andoversight of the digital health strategy for the NHS through the Digital Health Commission.