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The collaboration with Oracle will drive an Artificial Intelligence-based solution to prioritize at-risk patients and anticipate spikes in demand. A drastic reduction in waiting times in Primary Care and hospitals is expected.
During her institutional tour of the United States, the President of the Community of Madrid, Isabel Díaz Ayuso, has unveiled one of the most ambitious technological initiatives in the health sector at the regional level: a Digital Health project in collaboration with the multinational Oracle, promising to transform the experience of Madrid’s patients through the use of Artificial Intelligence (AI) and cloud computing.
The announcement, made from Oracle’s headquarters in New York, is not an isolated gesture, but rather a key piece in a broader strategy by the Madrid government to modernize the Madrid Health Service (SERMAS), reduce waiting times, and provide faster, more personalized, and efficient care, especially to the most vulnerable groups.
Technology in Service of the Patient
“We are going to use Artificial Intelligence not to dehumanize care, but to ensure that the people who need it most are attended to first,” Ayuso stated after her meeting with executives from the American company. The system will be based on the capabilities of Oracle Database 23ai, one of the most powerful vector databases on the market, alongside AI models developed by Oracle.
These systems will allow for the real-time cross-referencing of clinical and historical information from millions of patients, generating precise predictions about demand for care in Primary Care and hospitals. This way, healthcare centers will be able to anticipate spikes in consultations, reorganize schedules, better allocate available slots, and prioritize care based on risk criteria, rather than on a first-come, first-served basis.
From Data to Management Diagnosis: Goodbye to Endless Waiting Lists
One of the major challenges of the public healthcare system is not only the quality of professionals—widely recognized in Madrid—but also the management of resource availability, particularly surgical waiting lists and specialized attention.
Ayuso explained that this new system “will allow for the reduction of cancellations, improve communication with patients, and ultimately provide more personalized and convenient care.” The goal is significant: to ensure that every available minute in a medical schedule is utilized efficiently, avoiding empty slots that cause unnecessary delays and frustration among patients.
With this technology, those in charge of each center will be able to visualize and group cases by complexity, detect bottlenecks, and redistribute care load without compromising attention. In the words of one of the technical managers from SERMAS consulted by this outlet, it’s about “moving from a reactive healthcare system to a proactive one,” where planning is done in advance, not improvised.
What Will Change for the Citizen?
The most visible change will likely come when scheduling an appointment. Instead of a rigid system based on average times or overbooked schedules, the new model will be able to propose more agile options tailored to each clinical situation and patient profile. A person with a serious chronic illness will be able to receive priority without having to justify it every time. A mother calling the health center about her child’s high fever will be able to obtain precise information about real available slots, not having to depend on cancellations.
Furthermore, technology will also improve remote care and digital communication with patients, offering reminders, appointment changes, and personalized follow-ups through apps or electronic channels.
In the words of the president herself: “This is about saving lives. And in healthcare, many times, the speed of attention makes the difference between a scare and a tragedy.”
A Step Further in Madrid’s Digital Transformation
This initiative is not starting from scratch. The Community of Madrid and Oracle have previously collaborated in other areas, especially in business digitalization. Oracle has two cloud regions established in Madrid and has announced a third one on the way, as part of a $1 billion investment, positioning the capital as a European tech hub.
This infrastructure not only benefits the business fabric but also allows for the hosting of health data on local servers under strict security and regulatory compliance measures, a key requirement to ensure digital sovereignty and the protection of sensitive data within the public healthcare system.
A Model That Can Inspire Other Communities
The Madrid strategy falls within a growing international trend: applying the potential of Artificial Intelligence to unclog healthcare systems, improve operational efficiency, and better prioritize human and material resources. However, few regional governments have taken as decisive a step as Madrid in this direction.
This project could serve as a model for other Spanish regions or even other European capitals. The key, industry experts underline, will be monitoring, data transparency, and providing adequate training for healthcare staff to ensure a smooth transition that is not perceived as a “cold automation” of the system.
A Future Closer to the Patient
In a context where the digitalization of public services is more urgent than ever, the Community of Madrid is positioning itself at the forefront with this initiative. The question now is not only what technology to use, but how to apply it with human sensitivity. In this sense, the collaboration with Oracle seeks not to replace doctors but to free them from bureaucratic burdens so they can focus on what’s most important: caring for people.
As Ayuso expressed: “We want a modern, cutting-edge, and human public healthcare system. And this project is a firm step toward that horizon.”
If all goes as planned, the initial phases of deploying this technology will be implemented before the end of 2025, starting with pilot centers in Madrid and extending to the rest of SERMAS during the first half of 2026.
The digital revolution has reached medical consultations. And if it delivers on its promises, it will be a revolution in service of health and patient dignity.
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