Ask & Answer

You’ve got questions? We have answers!

Check out our Frequently Asked Questions for helpful information.
Q. What is Mission Future Ready?

Mission Future Ready is a multi-year effort that’s more than just bricks and mortar – it’s a reflection of Mission Health’s commitment to delivering the best care to the families across western North Carolina that we’re honored to serve. Mission Future Ready is an effort to transform healthcare, continue to improve our high-quality medical treatment and anticipate the future needs of those we care for before, during and after they visit any one of our facilities.


Collectively, Mission Health is investing nearly half a billion dollars region-wide – by far the largest investment ever made in the history of the region, a marker of the caring and confidence of Mission’s community Board to help everyone in our region to Be Well, Get Well and Stay Well.


Learn more about Mission Future ready by watching this video
Q: Why did you call this the Mission Hospital for Advanced Medicine?

This expansion and investment is rooted in Mission Health’s BIG(GER) Aim to get every person to the desired outcome, first without harm, also without waste and always with an exceptional experience for each person, family and team member.  Central to that commitment is ensuring that every hospital in the Mission Health system is always innovating and maximizing technology for its patients.  As the only tertiary hospital for all of western North Carolina, the Mission Hospital for Advanced Medicine is the interventional platform for the region and the safest place for the sickest patients.  This new facility will include state-of-the-art technology across all aspects to ensure that everyone in the region has access to the same services as an urban academic medical center.  Through our research, we will be advancing new medical treatments and surgical procedures.  Accordingly, we felt this name was appropriate and exciting.


Learn more about Mission Future ready by watching this video
Q. Are you replacing an existing structure?

No. The new tower will combine the St. Joseph and Memorial campuses, expanding access to innovative, high quality, patient-centered care to residents in western North Carolina.

Q. What will the Mission Hospital for Advanced Medicine look like and when will it open?

The new structure is slated to open in 2019.  Following are three renderings of the building when it’s completed.

c01  c02  c03

Q. What are some key elements of the new structure?

The expanded emergency department is just one notable aspect of the improved patient experience that Mission Hospital for Advanced Medicine will offer. While Mission Hospital currently has 65 beds – and averages approximately 300 patients every day – the new emergency department will consist of 97 beds.


Check out our Fact Sheets for more information.
Q. Are Mission’s caregivers benefitting from the expansion?

Absolutely—caregivers are the foundation of our ability to provide top-quality care to every patient. Accordingly, the Mission Hospital for Advanced Medicine was designed with both patients and caregivers in mind, for example:

  • Each floor will have dedicated respite rooms with views and massage chairs.
  • Patient rooms will have ceiling lifts to prevent back injuries and a nurse server that stores supplies at the bedside.
  • There will be two accessible, beautiful outdoor spaces and several other innovations to create a great place to work and practice.
Q. What are some other key features of the Mission Hospital for Advanced Medicine’s design?

This expansion and more than $400 million investment is rooted in Mission Health’s BIG(GER) Aim to get every person to the desired outcome, first without harm, also without waste and always with an exceptional experience for each person, family and team member. Accordingly, some of the design elements include:

  • Private patient rooms that include comfortable space for family members
  • An interventional platform that includes eight state-of-the-art digital operating rooms, two hybrid/vascular operating rooms (OR), 11 interventional and cardiac catheterization suites and a consolidated post-anesthesia care unit (PACU).
  • A Healing Courtyard located between the new tower and the Owen Heart Center, giving families, patients and caregivers direct access to gardens, walking trails and waiting benches
  • A partially covered Roof Terrace with landscaping located on the third floor offering outstanding views to the west of Mt. Pisgah and the surrounding range and plenty of seating for patients, visitors and caregivers
Q. How will local traffic be affected and for how long?

We have taken every effort to ensure any potential impact to local traffic will largely be limited to areas on the Mission Hospital campus. Where necessary, there will be signage clearly marking alternative routes.


You can learn more about any upcoming closures in the News Room.
Q. How much is Mission Hospital investing in this expansion? How many jobs are being created?

The total project value is more than $400 million and we estimate that approximately 1,300 jobs related to construction will be created over the lifespan of the seven-year project.

Q. Will Mission Hospital have to adjust the number of patients it can take or its quality of care?

No.  None of the expansion and enhancement projects underway will affect our ability to deliver top-quality care to the communities in Western North Carolina that we’re proud to serve.

Q. What other expansion projects does Mission Health have planned in its network?

For Mission Health, community investment has been an integral part of our history and culture for more than a century. Today, it helps drive innovation and contributes to our ranking as one of the nation’s highest quality health systems. At the heart of our health system is the relationship between our member hospitals and the communities we serve.


In fact, on July 25, 2016 Mission Health and Transylvania Regional Hospital officials joined members of the community in a groundbreaking ceremony for a $7.8 million expansion of the hospital’s Emergency Department.  A part of the Mission Future Ready effort, the new Emergency Department will open in fall 2017 and will replace the existing department with a 10,700-square-foot addition, including a 1,555-square-foot renovation.


Click here to learn more about the projects underway that will help us provide and support good health throughout western North Carolina. It is our goal to be at the forefront of innovation that brings the latest technology to our patients, close to home.


Catch up on the latest news about Mission’s Future Ready activities
Q. How has Mission Hospital for Advanced Medicine been designed to help with noise?

Providing an exceptional experience for each person, family and team member is just one of the key outcomes desired in Mission Health’s BIG(GER) Aim. Accordingly, comfortable rooms with calm noise levels was one of the key features taken into consideration when designing the expansion. Some examples of our efforts to reduce noise in the new constructions include:

  • Our roof level penthouse does not have typical “high noise” equipment such as Boilers, Chillers, Cooling Towers or Generators. This equipment is all located in a remote energy plant on the other side of campus.
  • The outside air intakes for the air handlers located in the penthouse are located on the south side of the facility immediately adjacent to the existing hospital.
    • This outside air intake is fully ducted and the intake louver is roughly 1,200 square feet in size. This large size helps to minimize air flow velocities, thus reducing noise both interior and exterior of the building envelope.
    • While the renderings of the project indicate louvers as the exterior facade on levels 10 and 11, only a small fraction of these are functioning louvers; most areas are complete architectural wall systems with blank offs behind the architectural louvers.
  • The stair pressurization fans are located within the enclosed penthouse in lieu of open air units installed on the rooftop.
  • The medium voltage transformers are located within the building envelope to minimize “humming” noises in the outdoor environment. All pump equipment in the penthouse is mounted on inertia bases – reducing vibration and noise.
Q. What will happen to the St. Joseph Campus?

A decision about the future of the St. Joseph campus has not yet been determined. There is a dedicated team of individuals exploring the many options and related outcomes that will come of this decision – and we are not taking these assessments lightly.  Once a final outcome is determined, we will be sure to share with the proper channels, including on our dedicated website,

Q. With the construction of the "Interventional Platform" providing new Operating Room (OR)/Post-Anesthesia Care Unit (PACU) areas, what will become of those existing units and the space those units currently occupy?

A team of Mission leaders assessed all the spaces being vacated and determined the priorities for what the future use will be.  Many of the areas vacated will be used to house departments at St. Joseph that are not moving into the new tower.  Other vacated areas will allow much needed expansion for departments heretofore landlocked.

Q. What will this project do for parking for employees and guests?

At Mission Hospital, we have many parking options for patients, families, and team members.  These options will remain available throughout construction of the Mission Hospital for Advanced Medicine, and when the building is complete, a new parking lot with more than 90 spaces will be available for patients and families adjacent to our new ED.


As the project evolves, we anticipate parking will too. For this reason, we are also in the process of working with consultants to help us shape parking over the next few months and years, until the completion of the project. We appreciate your patience throughout this important transformation.

Q. What does the orange and white checkered flag on the construction crane flag mean?

A: Construction safety flags are an important part of any job site. Not only do the flags provide clear visibility during the day, but they are required by law to mark jobsite dangers and temporary air hazards. The crane flag you see – also known as an “Air Safety Flag” – is so important that the Federal Aviation Administration (FAA) has a number of rules and regulations regarding the size of crane safety flags and their use. For example, the FAA requires that an orange and white checkered crane flag measuring 3×3 feet be placed every 50 feet that the crane boom is raised. This ensures that the crane is visible to not only to ground crews, but to nearby pilots, to help prevent accidents. This situation is much like the FAA requirement for large buildings around flight paths to have flashing lights. Because a crane is no less dangerous and much harder for a pilot to see, our cranes have lights on them as well, to increase night-time visibility. Failure to abide by these regulations could mean heavy fines or the loss of a government contract.

Q. What will happen to traffic flow?

A: The new traffic signal on Victoria Road was conceived by the City of Asheville as part of their ongoing improvements to Livingston Street. Based upon those goals and design, Mission Hospital was able to relocate our entry drive and provide a separate entrance for the new dramatically expanded Emergency Department that will open in 2019. The new Emergency Department entrance will be located at the old traffic signal location and will contain a left turn lane.


Unfortunately, the width of Victoria Road at the new traffic signal does not allow for a turn lane. The City of Asheville’s “Complete Streets” initiative requires bike paths in both directions. With two bike paths, only enough space remains for two vehicle lanes, which preclude a turn lane into the Mission Hospital campus at this new traffic signal location. To compensate and to keep traffic flowing, the northbound Victoria Road traffic is held at the red light longer than the southbound lane; that allows cars turning left a period of protected turn.


This delayed/protected left turn is part of each signal cycle so that traffic can move without significant delays. We have observed traffic throughout the day and for the most part, it flows smoothly. That said, like you we have observed congestion during peak morning traffic period involving Asheville High School morning drop off, so Mission’s traffic engineer continues to adjust and optimize the signal operations. In addition, when the new Emergency Department entrance opens in 2019 Mission anticipates further improvement; but we want to make all the adjustments possible to improve the current situation as quickly as possible.


Lastly, it is important to note, along with the peak period challenge, the many significant improvements provided by this new traffic signal including:

  • Traffic queuing on Livingston Street can now safely exit onto Victoria without substantial wait times
  • Bicyclists can now safely travel to and from the Main Entrance at Mission along designated bike paths
  • Emergency Department traffic will be separated from Main Entrance traffic


We do understand the inconvenience of being delayed by a new traffic signal, but we hope the improvements brought by this new signal, coupled with continued modifications to the signal operations will result in the inconvenience being minimized while the positive enhancements are maintained.

Don’t see a question? Send it to Us!

  • This field is for validation purposes and should be left unchanged.