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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 <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 />Development Area and the Monroe Sample Development Area should be consolidated <br />into a larger redevelopment area in order to realize the maximum redevelopment benefit <br />for 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 <br />million of public and private investment. In 1999 alone, there was over $ 20 million of <br />public and private investment in the SBCDA. However, faced with an evolving real - <br />estate market and fundamental changes in the delivery of Health Care in the United <br />States, it was deemed necessary to once again revise the boundary of the SBCDA. <br />This amendment to the SBCDA will expand the boundary to include what will be called <br />the 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 <br />most 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 <br />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 <br />the United States deliver their services. Of particular relevance to this amendment to the <br />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 day <br />care basis are re- shaping the delivery of health -care. Procedures which formerly required <br />a long -term stay in a hospital, can now be performed within a matter of hours in a clinic <br />setting. Chart 1.0 demonstrates the increase in the number of outpatient visits in <br />community hospitals in the United States between 1993 and 1996. <br />