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Resolution 1737 - Exhibit A <br />1.0 INTRODUCTION <br />Since 1968, the City of South Bend through the South Bend Redevelopment Commission has been <br />actively involved in redevelopment planning and implementation for the Central Core of the City <br />of South Bend. In 1985 it was recognized that three formerly individual redevelopment areas, the <br />Central Downtown Urban Renewal Area, the East Bank Development Area and the Monroe Sample <br />Development Area should be consolidated into a larger redevelopment area in order to realize the <br />maximum redevelopment benefit for each area. This merged and expanded area was named the <br />South Bend Central Development Area (SBCDA). <br />For the last fifteen years the SBCDA has served as a successful redevelopment district for the <br />citizens of the City of South Bend. Since 1985 the SBCDA has seen over $250 million of public <br />and private investment. In 1999 alone, there was over $ 20 million of public and private investment <br />in the SBCDA. However, faced with an evolving real- estate market and fundamental changes in <br />the delivery of Health Care in the United States, it was deemed necessary to once again revise the <br />boundary of the SBCDA. <br />This amendment to the SBCDA will expand the boundary to include what will be called the <br />Downtown Medical Services District (Expansion Area No. 4, Resolution 1737). Like previously <br />defined districts (Central Business District, East Bank, and Monroe Park) the Downtown Medical <br />Services District has its own individuality but is interrelated to the success of the revitalization of <br />the SBCDA due to its location, circulation patterns and most importantly land uses. In order to <br />facilitate efficient and orderly growth between the existing SBCDA and the defined Downtown <br />Medical Services District, it is essential that the necessary tools be put in place. <br />2.0 BACKGROUND AND PURPOSE <br />Over the past decade there have been significant changes in how health care providers in the <br />United States deliver their services. Of particular relevance to this amendment to the SBCDA <br />plan is the growing trend toward outpatient based service delivery. <br />On -going advances in technology and the ability to treat patients on an outpatient or day care <br />basis are re- shaping the delivery of health -care. Procedures which formerly required a long- <br />term stay in a hospital, can now be performed within a matter of hours in a clinic setting. Chart <br />1.0 demonstrates the increase in the number of outpatient visits in community hospitals in the <br />it United States between 1993 and 1996. <br />Downtown Medical Services District <br />