CCAAs manage their own health budgets and issue requests for proposals for their care centres. They can base their decisions on the certifications of medical technology assessment agencies. The IT and/or innovation departments are their contact points.
In addition, CCAAs often have their own health innovation hubs. These hubs bring together local ecosystems and provide facilities for innovation initiatives.

Hospitals supply themselves with medical devices. They have a budget, in which public subsidies play a prominent part, which allows them to choose their own schemes. They provide a third gateway to the Spanish market when releasing a digital medical device or product. The private health system.
More than half of the hospitals in Spain are private. This system is supplied independently of the public system.

Spain developed a strategy for an entrepreneurial nation in order to generate a new social and economic model, through 3 interconnected levels : innovative entrepreneurship, spanish driving sectors and social gaps reduction. 

This program has been developed in partnership with the platforms ENISA, financing innovatives companies and its dedicated section for digital companies ; RED.ES for the promotion of a digital agenda in Spain, notably for health and social services ; and finally ICEX for the globalization of companies.

The Secretaría General de Salud Digital, Información e Innovación del Sistema Nacional de Salud is responsible for dealing with projects for the modernisation, innovation, improvement and transformation of the national health system, especially those related to digital health and information systems. It coordinates, together with the Autonomous Communities, the execution and supervision of the digital health strategy for the NHS through the Digital Health Commission.