Assignment 1 15
Assignment 1 15
Assignment 1 15
Concordia University
1) DEA has been used to measure the relative efficiency of a group of hospitals. This study involved seven
teaching hospitals; data on three input measures and four output measures are provided in Table
a) Consider the performance of Hospital D. What is the interpretation of the efficiency measure for Hospital
D?
Based on the dual formulation the efficiency of D is 0.907 according to the results below
Variable Cells
Cell
$I$11
$I$12
$I$13
$I$14
$I$15
$I$16
$I$17
$I$3
Name
A Lambda
B Lambda
C Lambda
D Lambda
E Lambda
F Lambda
G Lambda
Theta
Final
Value
0.275441643
0.331060926
0
0
0.17962406
0
0
0.907289767
Reduced
Cost
0
0
0.030909367
0.092710233
0
0.009851398
0.085942474
0
Objective Allowable
Coefficient Increase
0 0.030037969
0 0.005957382
0
1E+30
0
1E+30
0 0.00352439
0
1E+30
0
1E+30
1
1E+30
Allowable
Decrease
0.03145908
0.006164899
0.030909367
0.092710233
0.007122722
0.009851398
0.085942474
1
Constraints
Cell
$L$11
$L$12
$L$13
$L$14
$L$15
$L$16
$L$17
Name
A LHS
B LHS
C LHS
D LHS
E LHS
F LHS
G LHS
Final
Shadow
Constraint Allowable
Allowable
Value
Price
R.H. Side
Increase
Decrease
12.16065858
0
0 12.16065858
1E+30
184.6296995
0
0 184.6296995
1E+30
2.13163E-13 0.01059322
0
1E+30 4.591864679
-7.10543E-14 0.008802193
0 0.509469618 1.755909222
-9.23706E-14 0.013832295
0 14.42126786 2.274436128
-2.84217E-13 0.000195838
0 10.07083129 3.131701538
7.668112937
0
0 7.668112937
1E+30
Final Value
0.907289767
Variable Cells
Cell
Name Original Value
$C$2 Value U1
0
$D$2 Value U2
0
$E$2 Value U3
0
$F$2 Value U4
0
$G$2 Value V1
0
$H$2 Value V2
0
$I$2
Value V3
0
Final Value
0.008802193
0.013832295
0.000195838
0
0
0
0.01059322
Constraints
Cell
Name
$K$11 Unit1
$K$12 Unit2
$K$13 C LHS
$K$14 D LHS
$K$15 Unit3
$K$16 Unit4
$K$17 Unit5
$K$18 Inputs
Cell Value
0
0
-0.030909367
-0.092710233
0
-0.009851398
-0.085942474
1
Formula
$K$11<=$M$11
$K$12<=$M$12
$K$13<=$M$13
$K$14<=$M$14
$K$15<=$M$15
$K$16<=$M$16
$K$17<=$M$17
$K$18=$M$18
Integer
Contin
Contin
Contin
Contin
Contin
Contin
Contin
Status
Binding
Binding
Not Binding
Not Binding
Binding
Not Binding
Not Binding
Binding
Slack
0
0
0.030909367
0.092710233
0
0.009851398
0.085942474
0
>=0
c) Which hospitals would you recommend Hospital D consider emulating to improve its efficiency? Identify
the types of inefficiencies for Hospital D and the improvements to be made
According to the results of dual model, hospitals A, B, and E defines the efficiency reference set. A
combination of these efficient hospitals will provide the hypothetical unit the hospital D has to be compared
with:
For the optimal solution of dual:
A=0.27544
B= 0.33106
And
E=0.17962
So the hypothetical unit is:
310
278.5
206.4 214.66
134.6
114.3
151.2 102.07
116
106.8
102.1 85.64
0.27544 55.31 0.33106 37.64 0.17962 32.48 33.53 should be compared against
49.52
55.63
55.3 41.99
291
156
157 160
47
3
82 28.67
Hospital D
33.53 33.53 0
41.99 41.99 0
160 160 0
21 28.67 7.67
It appears that Hospital D is using an excess of 35.34 FTE non physicians, $213,930 supply material, and
$8,760 worth of bed-days capacity. These excesses should be removed while generating same outpatient
but 7.67 more of intern training. These changes would make hospital D efficient.
In order identify the types of inefficiency the following relationship can be used:
These relations suggest that the efficiency of (Xo, Yo) for DMUo can be improved if the input values are
reduced radially by the ratio * and the input excesses recorded in s-* are eliminated. Similarly efficiency
can be attained if the output values are augmented by the output shortfalls in s+*.
So for inputs excess: *x0 is (226.82, 286.70, 85.64) respectively. When these values are compared with
x
j
(214.66, 102.07, 85.64) it shows that s-* is non zero for FTE-nonphysicians and Supply expenses
For outputs shortfalls it can be seen that s+* is nonzero for the output of trained interns.
The maxslack formulation provides the mix inefficiencies
Decision Variables s1+
s2+
0
DMUs
A
B
C
D
E
F
G
Check
Composite Unit
s3+
0
Patient-D_O Patient-D_U
55.31
49.52
37.64
55.63
32.91
25.77
33.53
41.99
32.48
55.3
48.78
81.92
58.41
119.7
33.53
41.99
33.53
41.99
Trained N
291
156
141
160
157
285
111
160
160
s4+
s1s2s37.668112937 12.16065858 184.6296995
Trained Int
47
3
26
21
82
92
89
21
28.66
FTE Non-P
310
278.5
165.6
250
206.4
384
530.1
250
214
Theta
0.907289767
Lambda
0.275441643
0.331060926
0
0
0.17962406
0
0
In conclusion, the mix inefficiency is 12.16 FTE Non-physicians and $184,629 supply expenses.
The output shortfall is 7.668 trained interns.