In the absence of leadership from the U.S. Federal Government, the process of developing (and continuously improving) consistent acoustical guidelines for healthcare facilities is like herding cats since many independent authorities compete with each other. Nevertheless, progress continues. 1 year after the release of the FGI 2010 Guidelines—the first code‐level, comprehensive U.S. guidelines in sixty years for noise and vibration in healthcare facilities—several groups have agreed to cite the Guidelines as their sole “reference standard”: the Department of Health and Human Services (responsible for HIPAA), the Veterans Administration, the Centers for Disease Control, 38 regional AHJ's (Authorities having Jurisdiction), the U.S. Green Building Council’s LEED for Health Care, the Green Guide for Health Care, 48 State code authorities, and most recently, the International Green Code Council. What is left? The Joint Commission, the Department of Defense, the World Health Organization, and others. Meantime, work on the 2014 edition of the Guidelines is already underway. Since the FGI Guidelines are actively used in 16 countries, it is imperative to involve the global acoustical community in the research and development needed to strengthen them. Can ICBEN help with this task? What is the best way forward?