Purpose/Significance To analyze the current situation of smart management construction in tertiary hospitals in Hunan province, and to provide references for promoting the construction of hospital smart management. Method/Process Questionnaires are distributed to tertiary hospitals in Hunan province to investigate and analyze their informatization construction level, progress of smart management construction, and construction of safety systems. Result/Conclusion The average construction rate of smart management system functions for various roles in tertiary hospitals in Hunan province is 44.74%, with problems of unbalanced and inadequate development. The construction of relevant business systems is uneven, which is mainly restricted by insufficient human resources, funds and technical support. Attention should be paid to hospital smart management, investment in funds and resources should be increased, system integration should be strengthened, the defense line of medical information security should be consolidated, and publicity and promotion should be enhanced, so as to promote the comprehensive implementation of smart management and improve the management efficiency and service quality of hospitals.