UR - What's new and exciting at the old Marketplace Mall? The new U of R Orthopaedics and Physical Performance Center...!

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What’s new and exciting at the old Marketplace Mall? The new U of R Orthopaedics and Physical Performance Center…!

Architects Rendering of the New UR Medicine Orthopaedics & Physical Performance Center

At more than 330,000 square feet, the UR Medicine Orthopaedics & Physical Performance Center that’s being built alongside The Marketplace Mall in Henrietta is the biggest offsite building project in University of Rochester history. It’s going to hold some big changes in the delivery of orthopaedic care, too.

The center will combine ambulatory surgery and other essential orthopaedic services in one convenient spot, with the building and its surrounding campus designed especially for patients with painful mobility challenges.

The mall’s former Sears building is being refitted as a new ambulatory surgery center specially designed for orthopaedic cases, with new operating rooms and procedure rooms. The surgery center opens in a few months and will have 8 operating rooms, with shell space to add more in the future.

The new-build, multi-story tower above the surgery center will house virtually anything a patient might need for diagnosis and treatment of a bone, spine, muscle or joint condition: diagnostic imaging; clinic exam rooms; physical, occupational, and hand therapy; sports medicine facilities; athletic training; injury prevention programs; and nutrition/mind-body wellness services. The tower and its 144 exam rooms are set to open in late 2023.

Rochester-based M/E Engineering provided HVAC, electrical, plumbing, fire protection and low voltage systems to the Orthopaedics & Physical Performance Center project. The design included centralized heating/cooling plants, emergency power, UPS power, bulk oxygen storage, room pressurization control, fire pump and all the associated distribution systems.

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Some details on the engineering installations: • Emergency standby generators - Two 750kw units • Double-ended 2500kVA electric service • 75hp fire pump • 210,000cfm for the HVAC system • 1700 tons of cooling • Medical gases including oxygen, nitrogen, med air, vacuum and nitrous oxide

The entire orthopaedics campus employs some innovative design, construction and patient-care approaches, including:

Locating an advanced medical complex at a

suburban mall. The University of Rochester Medical Center is part of a growing national trend: academic medical centers reclaiming and repurposing massive mall properties. As the nation’s shopping habits have changed, retailers have lost foot traffic and closed mall properties, but large-scale stores are finding new lives as medical complexes. Gutting and refitting the former Sears at Marketplace as a new surgery center instead of building one from scratch shaved a full year off construction time and associated costs.

Pre-fabricated, cutting-edge operating room

construction: The UR orthopaedics center is home to the first installation of a Clean Cube™ Medical System operating room in the world. Manufactured by SynergyMed Solutions, CLEAN CUBE is a novel approach to operating room design and construction. Instead of oneby-one assembly of an OR’s components (electrical, gas connects, data lines, etc.) by different subcontractors at the construction site, the CLEAN CUBE can be prefabricated with these and other essential components and ready for installation after it arrives by truck from Synergy’s manufacturing plant to its destination. This saves months of construction time and labor.

Three photos of the construction of the 330,000 square feet UR Medicine Orthopaedics & Physical Performance Center set to open in late 2023

Additionally, the Clean Cube system offers cost and time savings for users when it’s operational. The room’s walls are glass rather than traditional materials and thus easier to clean; shorter turnaround time of ORs means more surgeries can occur each day. Because the Clean Cube OR is a tightly constructed, single unit, it enables a vapor “lockdown” of the room and dispersal of disinfecting gases that super-sanitize the room automatically.

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Surgery Pickup Entrance Interior Courtyard Waiting Area

Interior Imaging Surgery Corridor

Interior Courtyard Waiting Area

Interior Main Entry Lobby

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Use of live motion capture and data analysis

to diagnose motion and gait disorders: Injury and illness can impair motion in patients of all ages. University of Rochester Orthopaedics opened its first Motion Lab back in 1926 to study the intricacies of human locomotion in order to better understand movement disorders and how to treat them. Researchers’ findings are helping today’s patients who have gait challenges from stroke, injury and a host of other conditions. The Orthopaedic center will feature a new Motion Analysis Lab with the most advanced technologies available to diagnose gait disorders and provide personalized physical therapy, assistive devices, and treatments to help patients achieve their best movement.

Simulators (and Virtual Reality) for surgical

skills training: The University of Rochester Orthopaedic Surgical Residency program is fortunate to have the DeHaven Surgical Skills Lab, which uses simulators to help trainees practice non-invasive (arthroscopic) surgical techniques. With more and more traditional, “open” surgeries making way for arthroscopic procedures, it’s essential for surgical trainees to acquire these complex skills in preparation for real-world operating room experience. Named for one of the Orthopaedics department’s pioneers, Kenneth DeHaven, M.D., the new skills lab will be five times the size of the current space. More space means added room for advanced equipment and expanded training experiences, including virtual reality tools.

The project is UR Medicine’s response to skyrocketing demand for orthopaedic care in recent years, and the need for additional capacity as patients of all ages in the region experience more orthopaedic issues. Additionally, UR Medicine is anticipating that more orthopaedic care will move from hospital to ambulatory settings in the years ahead.

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“We’ve seen a 25 percent increase in orthopaedic surgery cases over the past seven years, and a 60 percent increase in ambulatory visits in the same period of time,” said Mark Taubman, MD, Chief Executive Officer of the University of Rochester Medical Center.

Paul T. Rubery, MD, Chair of the Department of Orthopaedics and Marjorie Strong Wehle Professor of Orthopaedics, said the project is an opportunity to build a center that’s not only rightsized for patient volumes, but also expands on treatment options and convenience for patients.

“We’re seeing patients of all ages – from infants to people in their 90s and older – who need our care to keep their bones and joints healthy so they can remain as active and well as possible,” Rubery said. “This project answers an urgent, unmet need for patients: faster access to surgery and provider appointments, a convenient location, and a campus and treatment space designed precisely for their needs.”

The center will enable the Department of Orthopaedics to offer forward-thinking approaches that emphasize wellness and injury prevention, as well as traditional care, Rubery said.

“In the United States, the number of Americans over the age of 65 is expected to double from roughly 50 million today to nearly 100 million by 2060. With the growing demand for orthopaedic care in the nation, it’s clear that providers must take a more proactive approach to helping patients stay healthy, mobile, and fit. That will contribute to the population’s overall wellness and help patients delay or even prevent many orthopaedic conditions from affecting their lives.” q

by Barbara Ficarra URMC Communications

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Rendering of the CHAMPP Gym

URMC Rendering

Rendering: Ground CHAMPP

Rendering: Bird's Eye Toward Tower

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