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Resolution 17 37 _Exhibit A--------------------------------------------------------- - - - - -- -Page 1 <br />1.0 INTRODUCTION <br />Since 1968, the City of South Bend through the South Bend Redevelopment Commission <br />has been actively involved in redevelopment planning and implementation for the Central <br />Core of the City of South Bend. In 1985 it was recognized that three formerly individual <br />redevelopment areas, the Central Downtown Urban Renewal Area, the East Bank <br />DevelopmentArea and the Monroe Sample Development Area should be consolidated into <br />a larger redevelopment area in order to realize the maximum redevelopment benefit for <br />each area. This merged and expanded area was named the South Bend Central <br />Development Area (SBCDA). <br />For the last fifteen years the SBCDA has served as a successful redevelopment district for <br />the citizens of the City of South Bend. Since 1985 the SBCDA has seen over $250 million <br />of public and private investment. In 1999 alone, there was over $ 20 million of public and <br />private investment in the SBCDA. However, faced with an evolving real- estate market and <br />fundamental changes in the delivery of Health Care in the United States, it was deemed <br />co necessary to once again revise the boundary of the SBCDA. <br />This amendment to the SBCDAwill expand the boundary to include what will be called the <br />Downtown Medical Services District (Expansion Area No. 4, Resolution 1737). Like <br />previously defined districts (Central Business District, East Bank, and Monroe Park) the <br />Downtown Medical Services District has its own individuality but is interrelated to the <br />success of the revitalization of the SBCDA due to its location, circulation patterns and most <br />importantly land uses. In order to facilitate efficient and orderly growth between the <br />existing SBCDA and the defined Downtown Medical Services District, it is essential that the <br />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 <br />in the United States deliver their services. Of particular relevance to this amendment to <br />the SBCDA 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 <br />day care basis are re- shaping the delivery of health -care. Procedures which formerly <br />required a long -term stay in a hospital, can now be performed within a matter of hours <br />in a clinic setting. Chart 1.0 demonstrates the increase in the number of outpatient <br />visits in community hospitals in the United States between 1993 and 1996. <br />Downtown Medical Services District <br />