The change management approach focusses on transformation of culture issue in an organisation. Therefore, the transformational leaders should possess the capacity to inspire others to achieve outcomes. Digital transformation is considered as emerging technologies whereby artificial intelligence, 3D printing, robotics and the smart card technology. In this study, the smart card technology has much influence in the change management activities to achieve outcomes which will exceed the expectations set by the organisation. The study is aimed at accessing the role of change management in the adoption of smart card technology adoption in public healthcare. A quantitative approach has been applied for this study. We have distributed the questionnaires among the four hospitals in Gauteng such as Steve Biko, Pretoria West, Kalafong and Tshwane district hospitals. This study discovered healthcare professionals, and the Department of Health could assist towards the successful implementation for smart card technology successfully. Descriptive statistics were implemented in this study to analyse and evaluate summary data concerning the central tendency and distribution of continuous variables. Change management plays an important role in an organisation with leadership ensuring the ability to allow healthcare professionals to adopt the use of smart card technology. As result, cultivation of performance in a working environment will allow healthcare professionals to serve the healthcare sector harmoniously and performance will balance objective to serve the public with respect. The study will contribute equally to the understanding of the important determinants that influence the implementation of the technology in these hospitals.