In a hospital, the HVAC system isn't about comfort. It's about infection control, pressure relationships between operating rooms and corridors, and redundant power that can't fail during a procedure. Health care facilities have some of the most demanding MEP requirements of any building type.
Commissioning in health care means verifying ASHRAE Standard 170 ventilation requirements, life safety systems, redundant power distribution, and medical gas systems. Every system has to perform under real clinical conditions, not just pass a design review.
On the project management side, health care construction often means building around active patient care. That adds coordination with clinical staff, phased shutdowns, and regulatory requirements that don't apply to other building types.
