Regional educational technology management institutions serve as pivotal forces in advancing educational digital transformation. This study focuses on the development of regional educational technology management institutions in the context of educational digitalization, conducting investigations of 80 districts and counties in Zhejiang Province. The findings reveal three core challenges: unclear functions and dispersed responsibilities of these institutions; a shortage of personnel coupled with structural imbalance; and a lack of coordination and limited operational effectiveness. Countermeasures are proposed to optimize organizational architecture, clarify institutional functions and improve the management team. These recommendations are expected to provide theoretical insights and operational guidance for regional institutions navigating digital transformation challenges.