No. 3153 Designating and Declaring an Amendment to the Redevelopment Plan for the South Bend Central Development Area

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Resolution 1737 - Exhibit A Chart 1.0: Outpatient Visits U3 Cotnsnunity Hospitals (1998 -1998) IWI 500000- - W r 450000 itfll F 5 400000550000 1 800000 2 250 000 1998 1994 1995 1996 V Year Source: Health Care Financing Review, Spring 98, Vol. 19 Issue 8. oz. 105 Local hospitals also face this growing trend in the health industry. Memorial Hospital, has seen a growth in outpatient surgery from 30 % of their total procedures in 1996, to 70% of their total procedures in 1999. Although licensed at a 526 bed capacity, the hospital presently staffs for only 300 patients per day. This trend results in a shift in the type of physical facilities required for the delivery of service. The shorter term nature of outpatient visits results in an increased in the level of patient turnover. With the predominant reliance on automobiles for transportation there is a need for increased parking to serve the higher turnover rate. Faced with high costs associated with construction of parking facilities and the purchase of urban land, some health care providers are turning to opportunities on suburban greenfield sites where required land for development is readily available at a cheaper price. Memorial Hospital, through their own long term planning, determined that it would be in their and the community's best interest to remain and grow in their current location. As a consequence of this long term commitment to their existing location and to the community, Memorial Hospital must face the reality of a changing health care industry, within a very growth restricted environment. As demonstrated in Map 17.5, the campus of Memorial Hospital is bordered by Leeper Park and the St. Joseph River to the North, the River Bend Historic Neighborhood to the East and an established residential neighborhood to the West. Limited growth opportunities exist to the South -East of their existing campus. In such a confined environment, it is necessary for this important economic entity to be able to grow in an orderly and timely manner. By establishing the Downtown Medical Services District around the hospital, the City of South Bend through its Downtown Medical Services District