Digital transformation through the implementation of Electronic Medical Records (EMR) in the healthcare sector faces complex challenges that require a holistic and integrated approach. This study explores the collaboration between digital leadership, change management, and technology readiness in the implementation of EMR at Kariadi Hospital in Semarang using a qualitative narrative approach. Data were collected through in-depth interviews, participant observation, and organizational document analysis, involving key stakeholders ranging from directors to front-line healthcare workers. The study identified five key themes with high levels of user acceptance: digital leadership as a catalyst for transformation, integrated change management as a bridge to adoption, technology readiness as a foundation for user trust, cross-departmental collaboration in the digital ecosystem, and organizational cultural transformation toward a digital mindset. The findings indicate that effective synergy between these three variables creates an ecosystem conducive to technology adoption. Digital leadership through role modeling behavior and strategic communication successfully creates transformation momentum. Comprehensive change management facilitates the transition from manual to digital systems with minimal resistance. Robust technology readiness builds a foundation of trust through reliable infrastructure and a user-friendly interface. Cross-departmental collaboration optimizes integrated workflow and real-time information sharing. The organizational cultural transformation reflects a fundamental shift toward a sustainable digital-first approach.