新北市立土城醫院自籌建之初即以「智慧醫院」為藍圖，由長庚醫療財團法人興建經營，將綠建築與智慧化思維深植於建築DNA中。本院持續深耕醫療數位轉型、AI臨床應用及資安治理，並於2025年榮獲國家醫療品質獎(NHQA)智慧醫院全機構認證，一舉通過「門診、急診、住院、藥事、行政管理、綜合服務」六大流程全標章。本文將分享本院如何透過「智慧醫療」與「資通安全」雙核心治理架構，結合負責任AI臨床落地機制，全面升級醫病服務體驗。從急診AI影像輔助診斷、住院一站式與閉環用藥管理，到涵蓋ESG永續發展的行政管理平台，期盼藉由本院實務經驗，提供臺灣醫療體系建構高韌性、現代化且以病人為中心智慧醫院之參考典範。

New Taipei Municipal TuCheng Hospital, operated by the Chang Gung Medical Foundation, was established with the vision of becoming a patient-centered smart hospital, integrating green building principles together with smart technologies into its infrastructure and operations.The hospital has continuously advanced digital healthcare transformation, clinical artificial intelligence (AI) applications, and information security governance. In 2025, the hospital received full-institution Smart Hospital Certification under the National Healthcare Quality Award (NHQA) program, achieving certification in six service domains: outpatient, emergency, inpatient, pharmacy, administrative management, and integrated services. This article describes the hospital’s experience in developing a dual-governance framework centered on smart healthcare and information security, together with a structured approach for the responsible implementation of clinical AI applications. Representative initiatives include AI assisted imaging interpretation in emergency care, one-stop inpatient services with closed-loop medication management, and administrative management platforms aligned with environmental, social, and governance (ESG) principles. These experiences provide practical insights for healthcare organizations seeking to develop resilient, modern, and patient-centered smart hospitals.