Chambersburg Hospital in Chambersburg, Pennsylvania, opened its doors to patients in 1895. It has been winning awards ever since.
Small Town Hospital Wins Tops Quality Award

For the seventh consecutive year HealthGrades has named the Chambersburg Hospital one of America’s best hospitals for orthopedic, coronary intervention, pulmonary care, and critical care for 2018. The awards do not stop there.
To produce its rankings Healthgrades evaluated nearly 4,500 hospitals nationwide for 34 of the most common inpatient procedures and conditions. The findings were released in the Healthgrades 2018 Report to the Nation.
“The awards further demonstrate Chambersburg Hospital’s commitment to provide the best care possible to our local community. Of course, none of it would happen without the hard work by every one of our staff members,” said Patrick O’Donnell, president and CEO of Summit Health.
Chambersburg Hospital may soon run out of wall space on which to hang its awards. The hospital also received the Healthgrades Coronary Intervention Excellence Award, which placed the hospital in the top 5% in the nation for those procedures. It was named among the top 5% for cardiology services. The hospital received Healthgrades’ Orthopedic Surgery Excellence Award, placing it among the top 10% in the nation for overall orthopedic services.
Chambersburg received multiple recognitions within the neurosciences area, including the Stroke Care Excellence Award, which recognizes the top 5% in the nation for the treatment of stroke. In addition it received the Pulmonary Care Excellence Award, placing it among the top 5% for overall pulmonary services as well as the Gastrointestinal Care Excellence Award. The hospital was named among the top 10% for both overall GI services as well as GI medical treatment.
Additionally, Chambersburg Hospital is the recipient of the Critical Care Excellence Award, and is named among the top 5% of hospitals nationwide for critical care.
The complete Healthgrades 2018 Report to the Nation and detailed study methodology can be found at www.healthgrades.com/quality.

Discussion
This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?
Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.
We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.
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