Abstract
Data envelopment analysis (DEA) has proved to be an excellent approach for measuring performance of decision making units (DMUs) that use multiple inputs to generate multiple outputs. In many real world scenarios, DMUs have a two-stage network process with shared input resources used in both stages of operations. For example, in hospital operations, some of the input resources such as equipment, personnel, and information technology are used in the first stage to generate medical record to track treatments, tests, drug dosages, and costs. The same set of resources used by first stage activities are used to generate the second-stage patient services. Patient services also use the services generated by the first stage operations of housekeeping, medical records, and laundry. These DMUs have not only inputs and outputs, but also intermediate measures that exist in-between the two-stage operations. The distinguishing characteristic is that some of the inputs to the first stage are shared by both the first and second stage, but some of the shared inputs cannot be conveniently split up and allocated to the operations of the two stages. Recognizing this distinction is critical for these types of DEA applications because measuring the efficiency of the production for first-stage outputs can be misleading and can understate the efficiency if DEA fails to consider that some of the inputs generate other second-stage outputs. The current paper develops a set of DEA models for measuring the performance of two-stage network processes with non splittable shared inputs. An additive efficiency decomposition for the two-stage network process is presented. The models are developed under the assumption of variable returns to scale (VRS), but can be readily applied under the assumption of constant returns to scale (CRS). An application is provided.
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