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Between 1990 and 1995, the number of surgical procedures
performed at the Surgery Center increased 10 percent. Over the
same period, the number of outpatient surgeries performed at
Redlands Hospital decreased from 2,239 to 1,864.8
Procedures Authorized To Be Performed at the Surgery Center
The General Partnership agreement specifies the types of
medical services and procedures to be available at the Surgery
Center, which include: Arthroscopic surgeries, laproscopic
surgeries (including hysterectomies and appendectomies),
conizations, tonsillectomies, herniorrhaphy and eye surgeries.
When such procedures involve a higher-risk patient, they are
performed at Redlands Hospital or another acute-care hospital.
The decision to perform surgery at a hospital rather than at the
Surgery Center is exclusively a medical decision.
The General Partnership agreement generally provides that,
unless otherwise approved by the managing directors, the Surgery
Center will not perform new surgical procedures until they are
available on a nonhospital, outpatient basis at a majority of
freestanding outpatient surgery facilities in the area. If the
managing directors deadlock over approval of new procedures, the
8 The administrative record does not reflect the number of
outpatient surgical procedures performed at the Surgery Center or
Redlands Hospital since 1995.
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