Quality Report


Quality Report

MH Mission Hospital, LLLP

DBA: Mission Hospital
HCO ID: 6468
509 Biltmore Avenue
Asheville, NC, 28801-4690
(828) 213-1111
https://missionhealth.org/
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
11/14/2023
Last Full Survey Date
10/22/2021
Last On-Site Survey Date
12/13/2023
Gold Seal
Laboratory
Accreditation Decision
Effective Date
6/4/2022
Last Full Survey Date
4/11/2024
Last On-Site Survey Date
4/11/2024

Advanced Certification Programs

View Certification History
Gold Seal
Advanced Comprehensive Stroke Center
Certification Decision
Effective Date
4/30/2022
Last Full Survey Date
4/29/2022
Last On-Site Survey Date
4/29/2022
Gold Seal
Ventricular Assist Device
Certification Decision
Effective Date
11/16/2022
Last Full Survey Date
11/15/2022
Last On-Site Survey Date
11/15/2022

Sites

MH Mission Hospital, LLLP
DBA: Mission Hospital
9 Vanderbilt Park Dr.
Asheville, NC, 28803

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Fullerton Genetics

MH Mission Hospital, LLLP
DBA: Mission Hospital
1 Hospital Dr
Asheville, NC, 28801

Available Services

  • Behavioral Health (Day Programs - Adult )
  • Behavioral Health (Partial Hospitalization - Adult )
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )

Other Clinics/Practices Located at This Site:

  • Anti-Coagulation Clinic
  • Mission Outpatient Behavioral Health

MH Mission Hospital, LLLP
DBA: Mission Hospital
534 Biltmore Ave.
Asheville, NC, 28801-4601

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Breast Center
  • Mission Breast Center - Asheville

MH Mission Hospital, LLLP
DBA: Mission Hospital
5 Medical Park Drive
Asheville, NC, 28803

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Ambulatory Surgery Center (Outpatient )
  • Anesthesia (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Asheville Surgery Center

MH Mission Hospital, LLLP
DBA: Mission Hospital
2 Medical Park Dr.
Asheville, NC, 28803

Available Services

  • Outpatient Clinics (Outpatient )

MH Mission Hospital, LLLP
DBA: Mission Hospital
2695 Hendersonville Rd.
Arden, NC, 28704-8576

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Spine Center
  • Mission Spine Center

MH Mission Hospital, LLLP
DBA: Mission Hospital
360 Hospital Drive
Clyde, NC, 28721

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Asheville Orthopedics Clyde PSA
  • Mission Spine
  • Mission Wound Center Clyde

MH Mission Hospital, LLLP
DBA: Mission Hospital
5 Vanderbilt Park Drive
Asheville, NC, 28803

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Cardiovascular Diagnostics
  • Mission Heart Path
  • Mission Hospital OP Heart Services
  • Mission Sleep Lab

MH Mission Hospital, LLLP
DBA: Mission Hospital
691 Blythe Street
Hendersonville, NC, 28739

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Cardiovascular Diagnostics

MH Mission Hospital, LLLP
DBA: Mission Hospital
100 Ridgefield Court
Asheville, NC, 28816

Available Services

  • Administration of High Risk Medications (Outpatient )
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Hope Women's Cancer Center PSA
  • Mission Outpatient Infusion at Hope
  • Mission Radiology at Hope
  • Mission's Outpatient Radiology at Hope

MH Mission Hospital, LLLP
DBA: Mission Hospital
7 Vanderbilt Park Dr
Asheville, NC, 28803

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Interventional Spine
  • Mission MRI
  • Mission Spine Center

MH Mission Hospital, LLLP
DBA: Mission Hospital
21 Hospital Drive
Asheville, NC, 28801

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Hazardous Medication Compounding (Outpatient )
  • High Risk Sterile Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Hospital Pediatric Hematology / Oncology
  • Mission Hospital PET and Radiology
  • Mission Hospital PET/CT Center
  • Mission Hospital Radiation Therapy
  • Mission Outpatient Infusion
  • Mission Pediatric Hematology and Oncology

MH Mission Hospital, LLLP
DBA: Mission Hospital
2 Town Square Blvd. Ste. 110
Asheville, NC, 28803

Available Services

  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Breast Center - Biltmore Park

MH Mission Hospital, LLLP
DBA: Mission Hospital
222 Asheland Ave
Asheville, NC, 28801

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Intervention and Vascular
  • Mission Vascular and Interventional Clinic

MH Mission Hospital, LLLP
35 Woodfin Street
Asheville, NC, 28801

Available Services

  • General Laboratory Tests

Other Clinics/Practices Located at This Site:

  • Mission Health-Forensic Clinic

MH Mission Hospitals, LLLP
DBA: Mission Hospital
32 Apex Circle
Asheville, NC, 28803

Available Services

  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Adult )
  • Behavioral Health (24-hour Acute Care/Crisis Stabilization - Child/Youth )
  • Community Integration (Non 24 Hour Care )
  • Family Support (Non 24 Hour Care )
  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Peer Support (Non 24 Hour Care )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Adult )
  • Technology-Based Behavioral Health Srvs (Non 24 Hour Care - Child/Youth )

Other Clinics/Practices Located at This Site:

  • Mission Outpatient Wound Care and Hyperbaric

Mission Hospital
DBA: Mission Hospital
509 BILTMORE AVE, E140
Asheville, NC, 28801

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Anesthesia (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Mission Child Safety
  • Mission Children's OP Rehab
  • Mission Children's Radiology
  • Mission Pediatric Audiology
  • Mission Pediatric Behavioral/Developmental
  • Mission Pediatric Endocrinology
  • Mission Pediatric GI
  • Mission Pediatric Neurology
  • Mission Pediatric Orthopedics
  • Mission Pediatric Procedure Suite
  • Mission Pediatric Pulmonology
  • Mission Pediatric Surgery
  • Pediatric Community Transition

Mission Hospital
DBA: Mission Hospital
509 BILTMORE AVE, E140
Asheville, NC, 28801

Available Services

  • Brachytherapy (Imaging/Diagnostic Services )
  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • General Laboratory Tests
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Unit (Inpatient )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Ventricular Assist Device

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Laboratory 2022 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Hospital 2023 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.