The health care environment is one of the most heavily regulated and technically challenging for project systems designers. Hospitals are the primary care provider for the critically ill. Life safety approach and systems are unique to the health care setting. Major governing agencies include the local Building and Fire Departments, state health care licensing, and Center for Medicare and Medicaid Services (CMS). CMS compliance may be evaluated by The Joint Commission, Det Norske Veritas (DNV), or other deemed status organizations. Here, we’ll look at concepts for life safety systems and compliance with the various regulatory requirements.