When Dr. Joshua Sharfstein first visited the Western Maryland Regional Medical Center one year ago, he thought he entered the wrong building. The hospital was too quiet. There were no patients in the halls. No crowds in the waiting rooms. The hospital's staff showed him entire wards that were being closed down. It was a great sign. "I left, and I described it as the 'anti-gravity zone' for healthcare," Sharfstein, the state of Maryland's health secretary, told Business Insider in an interview last week. "Just everything was incredible. I think they were pretty far out ahead of the country at that point."