Distributed Ledger-Powered Digital Twin Models for Intelligent Hospital Infrastructure Management

Abstract

The integration of Distributed Ledger Technologies (DLTs) with Digital Twin (DT) systems is transforming smart hospital infrastructures by facilitating secure, transparent, and real-time operational intelligence. As healthcare settings rely more on IoMT devices, AI analytics, and automated processes, it's crucial to ensure that the data shared between real and virtual systems is reliable and accurate. DLT provides decentralized validation, immutable storage, and automated smart-contract governance, ensuring trustworthy Digital Twin updates for predictive maintenance, patient-flow optimization, and resource management. By strengthening interoperability, enhancing cybersecurity resilience, and supporting transparent data-sharing mechanisms, DLT-enabled Digital Twins offer a robust foundation for next-generation intelligent hospital ecosystems. This chapter looks at different design models, real-life examples, performance details, and future research directions that are important for making healthcare changes that are scalable, secure, and ethical.