The smart hospital framework involves three main layers: data, insight and access. Medical data is collected real-time from devices and systems in a smart hospitals: the internet of medical things. This data is integrated to provide insight from the analytics or machine learning software using digital twins. Security and transparency are brought through a combination of digital twin and blockchain technologies. Blockchain and Digital Twins for Smart Healthcare describes the role of blockchain and digital twins in smart healthcare. It describes the ecosystem of the Internet of Medical Things, how data can be gathered using a sensor network, which is securely stored, updated and managed with blockchain for efficient and private medical data exchange. The end goal is insight that provides faster, smarter decisions with more efficiency to improve care for the patient.