Smart hospitals are the top priority for the development of today’s healthcare industry. The results of a market survey conducted by the Joint Commission of Taiwan (JCT) from the end of 2021 to the beginning of 2022 show that nearly half of leaders in the medical industry, chief information officers, and representatives of the technology industry expressed frustration regarding the development direction of smart healthcare. However, hospitals at all levels show a consistent trend with the current development of smart hospitals. The smart technology systems imported by district and regional hospitals are mainly basic applications and process automation, while medical centers adopted the application of advanced technologies such as Artificial Intelligence (AI), robots, 5G, etc. The healthcare community is highly interested in the development of AI, but there are not many successful cases at present. On the road to smart hospitals, internal and external barriers and challenges exist. The most influential driving force for smart hospitals’ development comes from hospitals’ internal needs, but not policies or accreditation regulations. On the other hand, its challenges include lack of clear performance evaluation and investment return analysis, lack of technical talents, fragmented product information, inability to solve problems with existing technology, the inability of industry players to grasp demand, and limitations by relevant regulations. In the development of smart hospitals, collaboration between parties is particularly important. The medical centers stand as a leader whilst the JCT’s Taiwan Smart Healthcare Innovation Integration Platform (Health Smart Taiwan, HST) plays an important role to integrate the healthcare community and the industry by working hand in hand to create a new value for Taiwan’s smart healthcare.