This study aims to validate the sustainable total resource management measures and provide a hierarchical structure to manage the medical resources for the healthcare industry in Thailand. Prior studies have failed to deal with the valid attributes and to present a theoretical hierarchical structure. The Thailand healthcare industry faces medical resource depletion in the current pandemic outbreak. To address these gaps, this study proposes a fuzzy Delphi method to screen out the less important attributes in order to enhance the validity of measures. Fuzzy interpretive structural modelling transfers the complex interrelationships into a hierarchical structure and provides the direction for practical improvement. The result shows that green human resources practices, collaboration in supply chain networks, analysis and knowledge management, and technology innovation are all important aspects of the hierarchical structure for practical improvement. The linkage criteria are (1) green ability, (2) green motivation, (3) operational efficiency, (4) environmental regulation, and (5) energy conservation. The theoretical and managerial implications are subsequently discussed.