In recent years, with the continuous deepening of economic management in the medical industry, the requirements of managers for hospital operational efficiency have gradually increased. How public hospitals can play their public welfare functions at the lowest operating cost is a topic worthy of in-depth research. The asset type with the highest cost proportion in public hospitals is fixed assets. Based on analyzing the current situation and difficulties of fixed asset management in public hospitals, it explores the dynamic monitoring of fixed asset efficiency management in public hospitals based on Internet of Things technology, aiming to provide innovative ideas and relevant suggestions for fixed asset management in public hospitals.