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Expansion in AP 3.1 is completed on schedule

Completed in September 2025, the expansion integrated the 224 teams from AP 3.1 - TEIAS/Manguinhos, covered unit by unit with the support of the Programmatic Area Coordination.

In September 2025, MediRec completed the expansion in Programmatic Area 3.1 - TEIAS/Manguinhos — the area with the largest number of teams in the municipality at the time, managed by the social organization Viva Rio —, integrating the 224 teams in the area. The entire process was carried out within the expected time frame.

Unit by unit, with the support of CAP

The choice of AP 3.1 as the first area came from the Primary Care Superintendence (SAP) itself. True to the approach defined together with SAP, the team went through the services unit by unit. The Programmatic Area Coordination (CAP) made its resources available to facilitate field visits — including cars and drivers —, which made it possible to reach each unit and conduct implementation in the real context of each service.

Team training

The expansion was accompanied by a face-to-face training program aimed at all profiles that operate the network: doctors, nurses, regulators, technical managers (medical RT and nursing RT), community health agents and unit managers. The training was conducted in a practical, hands-on format: instead of expository presentations, each participant used MediRec in real time while the team demonstrated the flows, so that learning took place directly on day-to-day tasks.

The meetings also served to resolve, on the spot, participants' access and login issues, ensuring that each professional left the training with the system fully operational. They were also an opportunity to listen to those at the forefront: the teams' observations feed the continuous improvement of MediRec, allowing it to adapt ever better to the reality of each unit and area.

Learning for the next areas

In all units, the reception was very positive: the teams welcomed the tool with engagement, and the observations collected in the field are already guiding the next improvements to the system. At the same time, having started precisely with the largest AP in the municipality made clear the limits of the unit-by-unit approach as the first step of expansion: going through each service individually took too much time given the scale of what still needed to be covered. The experience left an open question — how to manage the other areas without repeating this time cost.

Human decision and protected data

MediRec’s artificial intelligence suggests priorities and checks criteria and documents, but qualification remains the professional’s responsibility — the clinical decision remains human. Because it deals with health data, MediRec operates as a data processor under network governance: it has no patient-facing interface, processes data only within the scope of the project and ensures its return or deletion within 30 days after the contract ends.

About MediRec

Developed by 2BLP Futuro Ltda., MediRec was conceived by Luana Moussallem, Matthias Hasler and Tarek Nabaa. Four principles run through the platform: complementarity, human decisions over AI, protected data and the network’s autonomy over its own technology. Conceived from practical experience in Brazil’s public health system, MediRec follows a simple method: a concrete care problem becomes a workflow, is tested in the field and only reaches the network after proving results in a real clinic.

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