Measurement and sources of overall and input inefficiencies: Evidences and implications in hospital services

Traditional data envelopment analysis (DEA) focuses exclusively on measuring the overall efficiency of a decision making unit (DMU). Yet, variables that have explanatory power for the overall operational inefficiency of a DMU may not necessarily be the same as those that affect its individual input inefficiencies. On many occasions, variables that explain the overall inefficiency of a DMU can be inconsistent or incongruent with those that cause its individual input inefficiencies. Therefore, we conjecture that an overall inefficiency score alone may have limited value for decision making since such a process requires fine-tuning and adjustments of specific input factors of the DMU in order to maximize its overall efficiency. In this paper, the utilization and financial data of a set of hospitals in California is used to empirically test the above conjecture.Our study has several important contributions and practical implications. First, we fine-tune previous efficiency measures on hospitals by refining input and output measures. Second, with variables on organization, management, demographics, and market competition, we identify specific factors associated with a hospital's overall operational inefficiency. More importantly, by decomposing the overall DEA operational inefficiency score into different individual input inefficiencies (including slacks), we further identify specific variables that cause individual input inefficiency. Third, significant differences are observed among factors of the overall inefficiency and individual input inefficiencies. These findings have important implications for identifying congruent factors for performance standard setting and evaluation; it also provides invaluable information for guiding effective resource allocation and better decision making for improving hospital operational efficiency.     

Dual models of interval DEA and its extension to interval data

The purpose of this paper is to develop a new DEA with an interval efficiency. An original DEA model is to evaluate each DMU optimistically. There is another model called “Inverted DEA” to evaluate each DMU pessimistically. But, there are no relations essentially between DEA and inverted DEA. Thus, we formulate a DEA model with an interval efficiency which consists of efficiencies obtained from the optimistic and pessimistic viewpoints. Thus, two end points can construct an interval efficiency. With the same idea, we deal with the interval inefficiency model which is inverse to interval efficiency. Finally, we extend the proposed DEA model to interval data and fuzzy data.     

链式网络DEA模型

数据包络分析(DEA)是评价决策单元(DMU)相对有效性的一种工具,现已得到广泛的应用.传统的DEA不考虑系统内部结构,而是将系统作为一个"黑箱"来度量效率.针对多阶段网络结构提出一个新的网络DEA模型—链式网络DEA模型.研究网络决策单元的网络DEA有效性及各个阶段的弱DEA有效性之间的关系,给出了网络DEA有效的充分必要条件.若网络决策单元不是网络DEA有效的,根据模型可以指出系统在哪些阶段是无效的.     

Measurement of the worst practice of decision-making units in the presence of non-discretionary factors and imprecise data

The objective of the present paper is to propose a novel pair of data envelopment analysis (DEA) models for measurement of relative efficiencies of decision-making units (DMUs) in the presence of non-discretionary factors and imprecise data. Compared to traditional DEA, the proposed interval DEA approach measures the efficiency of each DMU relative to the inefficiency frontier, also called the input frontier, and is called the worst relative efficiency or pessimistic efficiency. On the other hand, in traditional DEA, the efficiency of each DMU is measured relative to the efficiency frontier and is called the best relative efficiency or optimistic efficiency. The pair of proposed interval DEA models takes into account the crisp, ordinal, and interval data, as well as non-discretionary factors, simultaneously for measurement of relative efficiencies of DMUs. Two numeric examples will be provided to illustrate the applicability of the interval DEA models.     

Identifying the efficiency status in network DEA

Data envelopment analysis (DEA) is commonly employed to evaluate the efficiency performance of a decision making unit (DMU) that transforms exogenous inputs into final outputs. In such a black-box DEA approach, details of an internal production process of the DMU are typically ignored and hence the locations of inefficiency are not adequately provided. In view of this, DEA researchers have recently developed various network approaches by looking into the black box, where the inputs that enter the box and the outputs that come out of it are only considered. However, most of these network approaches evaluate divisional efficiency by using an optimal solution of their respective optimization problem. If such an optimal solution is used in the case when there are multiple optima, then managerial guidance based on this solution alone may be inappropriate because more appropriate targets from the viewpoint of management may be ignored. Taking this fact into account, therefore, we propose a network approach for identifying the efficiency status of each DMU and its divisions. This approach provides a practical computational procedure.     

The relevance of DEA benchmarking information and the Least-Distance Measure

Efficiency analysis is performed not only to estimate the current level of efficiency, but also to provide information on how to remove inefficiency, that is, to obtain benchmarking information. Data Envelopment Analysis (DEA) was developed in order to satisfy both objectives and the strength of its benchmarking analysis gives DEA a unique advantage over other methodologies of efficiency analysis. This study proposes the use of the Least-Distance Measure in order to obtain the shortest projection from the evaluated Decision Making Unit (DMU) to the strongly efficient production frontier, thus allowing an inefficient DMU to find the easiest way to improve its efficiency. In addition to producing reasonable benchmarking information, the proposed model provides efficiency values which satisfy the general requirements that every well-defined efficiency measure should meet.     

The interval efficiency based on the optimistic and pessimistic points of view

Data envelopment analysis (DEA) is a data-oriented approach for evaluating the performances of a set of peer entities called decision-making units (DMUs), whose performance is determined based on multiple measures. The traditional DEA, which is based on the concept of efficiency frontier (output frontier), determines the best efficiency score that can be assigned to each DMU. Based on these scores, DMUs are classified into DEA-efficient (optimistic efficient) or DEA-non-efficient (optimistic non-efficient) units, and the DEA-efficient DMUs determine the efficiency frontier. There is a comparable approach which uses the concept of inefficiency frontier (input frontier) for determining the worst relative efficiency score that can be assigned to each DMU. DMUs on the inefficiency frontier are specified as DEA-inefficient or pessimistic inefficient, and those that do not lie on the inefficient frontier, are declared to be DEA-non-inefficient or pessimistic non-inefficient. In this paper, we argue that both relative efficiencies should be considered simultaneously, and any approach that considers only one of them will be biased. For measuring the overall performance of the DMUs, we propose to integrate both efficiencies in the form of an interval, and we call the proposed DEA models for efficiency measurement the bounded DEA models. In this way, the efficiency interval provides the decision maker with all the possible values of efficiency, which reflect various perspectives. A numerical example is presented to illustrate the application of the proposed DEA models.     

Measuring super-efficiency in DEA in the presence of infeasibility

Super-efficiency data envelopment analysis (DEA) model is obtained when a decision making unit (DMU) under evaluation is excluded from the reference set. Because of the possible infeasibility of super-efficiency DEA model, the use of super-efficiency DEA model has been restricted to the situations where constant returns to scale (CRS) are assumed. It is shown that one of the input-oriented and output-oriented super-efficiency DEA models must be feasible for a any efficient DMU under evaluation if the variable returns to scale (VRS) frontier consists of increasing, constant, and decreasing returns to scale DMUs. We use both input- and output-oriented super-efficiency models to fully characterize the super-efficiency. When super-efficiency is used as an efficiency stability measure, infeasibility means the highest super-efficiency (stability). If super-efficiency is interpreted as input saving or output surplus achieved by a specific efficient DMU, infeasibility does not necessary mean the highest super-efficiency.     

Context-dependent data envelopment analysis with cross-efficiency evaluation

To address some problems with the original context-dependent data envelopment analysis (DEA), this paper proposes a new version of context-dependent DEA; this version is based on cross-efficiency evaluations. One of the problems with the original context-dependent DEA is that the attractiveness and progress measures only represent the radial distance between the decision-making unit (DMU) under evaluation and the evaluation context. This representation only shows how distinct the DMU is from a single specific DMU on the evaluation context, not from the entire evaluation context overall. Another problem is that the magnitude of attractiveness and progress scores in the original context-dependent DEA may not have significant meanings. It may not be proper to say that a DMU is more attractive simply because it has a higher attractiveness score for the same reason that the performance of inefficient DMUs cannot be compared with one another simply based on their efficiency scores. We incorporate cross-efficiency evaluations into the context-dependent DEA to overcome the preceding shortcomings of the original context-dependent DEA. We also demonstrate the proposed model's appropriateness and usefulness with an illustrative example.     

DEA Models for Identifying Critical Performance Measures

In performance evaluation, it is important to identify both the efficient frontier and the critical measures. Data envelopment analysis (DEA) has been proven an effective tool for estimating the efficient frontiers, and the optimized DEA weights may be used to identify the critical measures. However, due to multiple DEA optimal weights, a unique set of critical measures may not be obtained for each decision making unit (DMU). Based upon a set of modified DEA models, this paper develops an approach to identify the critical measures for each DMU. Using a set of four Fortune's standard performance measures, capital market value, profit, revenue and number of employees, we perform a performance comparison between the Fortune's e-corporations and 1000 traditional companies. Profit is identified as the critical measure to the performance of e-corporations while revenue the critical measure to the Fortune's 1000 companies. This finding confirms that high revenue does not necessarily mean profit for e-corporations while revenue means a stable proportion of profit for the Fortune's 1000 companies.     

A new integrated DEA model for finding most BCC-efficient DMU

In many applications of widely recognized technique, DEA, finding the most efficient DMU is desirable for decision maker. Using basic DEA models, decision maker is not able to identify most efficient DMU. Amin and Toloo [Gholam R. Amin, M. Toloo, Finding the most efficient DMUs in DEA: an improved integrated model. Comput. Ind. Eng. 52 (2007) 71–77] introduced an integrated DEA model for finding most CCR-efficient DMU. In this paper, we propose a new integrated model for determining most BCC-efficient DMU by solving only one linear programming (LP). This model is useful for situations in which return to scale is variable, so has wider range of application than other models which find most CCR-efficient DMU. The applicability of the proposed integrated model is illustrated, using a real data set of a case study, which consists of 19 facility layout alternatives.     

An epsilon-free approach for finding the most efficient unit in DEA

Data envelopment analysis (DEA), considering the best condition for each decision making unit (DMU), assesses the relative efficiency and partitions DMUs into two sets: efficient and inefficient. Practically, in traditional DEA models more than one efficient DMU are recognized and these models cannot rank efficient DMUs. Some studies have been carried out aiming at ranking efficient DMUs, although in some cases only discrimination of the most efficient unit is desirable. Furthermore, several investigations have been done for finding the most CCR-efficient DMU. The basic idea of the majority of them is to introduce an integrated model which achieves an optimal common set of weights (CSW). These weights help us identify the most efficient unit in an identical condition.     

A generalized additive, categorical model in data envelopment analysis

This paper considers efficiency of a Decision Making Unit (DMU) in Data Envelopment Analysis (DEA) with a generalized additive model and a categorical structure. Specifically, it extends the categorical framework in DEA for controllable and noncontrollable situations, and it gives simple, but powerful, tests to determine whether or not a given DMU is efficient.     

Optimal budget for system design series network DEA model

Wei and Chang (2011a) developed optimal system design (OSD) data envelopment analysis (DEA) models to design a decision-making unit (DMU)’s optimal system, in which the DMU could encounter the well-known economic phenomenon of budget congestion. To show how to verify the optimal budget and budget congestion, they develop a solution method. In this paper, we note that their method is incorrect for the OSD network DEA model in general. A new approach is developed to derive the DMU’s corresponding optimal budgets and to check for the existence of budget congestion not only for the OSD DEA models but also for the OSD network DEA models. In addition, the proposed approach is computationally economical. Finally, two numerical examples are used to illustrate the proposed approach.     

层次系统DEA模型的研究

经典的DEA模型视决策单元为黑匣子,不考虑内部结构.实际上,决策单元DMU可能具有各种各样的结构.对DMU进行效率评价时,尽管最初的输入和最终的输出相同,但考虑DMU结构与忽视DMU结构得到的效率不同.基于这样一种思想,提出了一种基于层次系统的DEA模型.     

On finding the most BCC-efficient DMU: A new integrated MIP–DEA model

This paper proposes a new integrated mixed integer programing – data envelopment analysis (MIP–DEA) model to improve the integrated DEA model which was introduced by Toloo & Nalchigar [M. Toloo, S. Nalchigar. A new integrated DEA model for finding most BCC–efficient DMU. Appl. Math. Model. 33 (2009) 597–60]. In this study some problems of applying Toloo & Nalchigar’s model are addressed. A new integrated MIP–DEA model is then introduced to determine the most BCC-efficient decision making unit (DMU). Moreover, it is mathematically proved that the new model identifies only a single BCC-efficient DMU by a common set of optimal weights. To show applicability of proposed models, a numerical example is used which contains a real data set of nineteen facility layout designs (FLDs).     

广义与传统BC~2模型效率评价差异及其几何刻画

传统DEA方法相对于决策单元全体对决策单元进行评价,广义DEA方法相对于样本单元全体对决策单元进行评价.由于参照系的不同,对不同决策单元的相对效率评价结果可能不同.针对这种情况,对基于BC2模型的只有投入或只有产出的传统和广义DEA模型进行说明,并通过样本前沿面的移动对广义DEA模型中相对效率值进行几何刻画.     

Multi-period efficiency and Malmquist productivity index in two-stage production systems

Conventional two-stage data envelopment analysis (DEA) models measure the overall performance of a production system composed of two stages (processes) in a specified period of time, where variations in different periods are ignored. This paper takes the operations of individual periods into account to develop a multi-period two-stage DEA model, which is able to measure the overall and period efficiencies at the same time, with the former expressed as a weighted average of the latter. Since the efficiency of a two-stage system in a period is the product of the two process efficiencies, the overall efficiency of a decision making unit (DMU) in the specified period of time can be decomposed into the process efficiency of each period. Based on this decomposition, the sources of inefficiency in a DMU can be identified. The efficiencies measured from the model can also be used to calculate a common-weight global Malmquist productivity index (MPI) between two periods, in that the overall MPI is the product of the two process MPIs. The non-life insurance industry in Taiwan is used to verify the proposed model, and to explain why some companies performed unsatisfactorily in the specified period of time.     

A generalized DEA model for inputs/outputs estimation

In this paper we discuss the question: among a group of decision making units (DMUs), if a DMU changes some of its input (output) levels, to what extent should the unit change outputs (inputs) such that its efficiency index remains unchanged? In order to solve this question we propose a solving method based on Data Envelopment Analysis (DEA) and Multiple Objective Linear Programming (MOLP). In our suggested method, the increase of some inputs (outputs) and the decrease due to some of the other inputs (outputs) are taken into account at the same time, while the other offered methods do not consider the increase and the decrease of the various inputs (outputs) simultaneously. Furthermore, existing models employ a MOLP for the inefficient DMUs and a linear programming for weakly efficient DMUs, while we propose a MOLP which estimates input/output levels, regardless of the efficiency or inefficiency of the DMU. On the other hand, we show that the current models may fail in a special case, whereas our model overcomes this flaw. Our method is immediately applicable to solve practical problems.     

混合的DEA模型最优解的存在性

有ｎ个决策单元。设被评价的决策单元可以不是这ｎ个之一,且它们的输入或输出可以取负值,在这样情况下,给出了混合的ＤＥＡ模型存在最优解的必要条件或充分条件