DEA-Based Incentive Regimes in Health-Care Provision

A major challenge to legislators, insurance providers and municipalities will be how to manage the reimbursement of health-care on partially open markets under increasing fiscal pressure and an aging population. Although efficiency theoretically can be obtained by private solutions using fixed-payment schemes, the informational rents and production distortions may limit their implementation. The healthcare agency problem is characterized by (i) a complex multi-input multi-output technology, (ii) information uncertainty and asymmetry, and (iii) fuzzy social preferences. First, the technology, inherently nonlinear and with externalities between factors, yield parametric estimation difficult. However, the flexible production structure in Data Envelopment Analysis (DEA) offers a solution that allows for the gradual and successive refinement of potentially nonconvex technologies. Second, the information structure of healthcare suggests a context of considerable asymmetric information and considerable uncertainty about the underlying technology, but limited uncertainty or noise in the registration of the outcome. Again, we shall argue that the DEA dynamic yardsticks (Bogetoft, 1994, 1997, Agrell and Bogetoft, 2001) are suitable for such contexts. A third important characteristic of the health sector is the somewhat fuzzy social priorities and the numerous potential conflicts between the stakeholders in the health system. Social preferences are likely dynamic and contingent on the disclosed information. Similarly, there are several potential hidden action (moral hazard) and hidden information (adverse selection) conflicts between the different agents in the health system. The flexible and transparent response to preferential ambiguity is one of the strongest justifications for a DEA-approach. DEA yardstick regimes have been successfully implemented in other sectors (electricity distribution) and we present an operalization of the power-parameter p in an pseudo-competitive setting that both limits the informational rents and incites the truthful revelation of information. Recent work (Agrell and Bogetoft, 2002) on strategic implementation of DEA yardsticks is commented in the healthcare context, where social priorities change the tradeoff between the motivation and coordination functions of the yardstick. The paper is closed with policy recommendations and some areas of further work.Data Envelopment Analysis, regulation, health care systems, efficiency, Health Economics and Policy,

A Construction Subcontractor Selection Model

In today’s construction market, subcontractors execute significant portions of construction work. Subcontractors lessen resource requirements faced by general contractors and provide specialized expertise to construction projects. The reliance of general contractors on subcontractors to execute major portions of construction work makes the success of construction projects highly susceptible to the performance of these subcontracting organizations. As a result, subcontractors' selection decisions are of crucial importance to general contractors bearing in mind that such decisions are exercised by general contractors multiple times in every single project. Existing models of subcontractors' selection do not result in one holistic view for subcontractor evaluation. This paper contributes a Data Envelopment Analysis (DEA) model to guide general contractors in their subcontractor selection decisions. The proposed DEA approach addresses the limitation associated with existing models and results in one holistic view for subcontractor evaluation

Supplier Selection by the Pair of Nondiscretionary Factors-Imprecise Data Envelopment Analysis Models

Discretionary models for evaluating the efficiency of suppliers assume that all criteria are discretionary, that is, controlled by the management of each supplier and varied at its discretion. These models do not assume supplier selection in the conditions that some factors are nondiscretionary. The objective of this paper is to propose a new pair of nondiscretionary factors-imprecise data envelopment analysis (NF-IDEA) models for selecting the best suppliers in the presence of nondiscretionary factors and imprecise data. A numerical example demonstrates the application of the proposed method.Full Tex

Business Model Configurations for Digital Platform Success - Towards a Typology of Digital Platform Business Models

Competition between digital platforms is harder compared to non-platform businesses. Fierce platform competition reduces digital platforms’ chances of success. Research has identified many aspects of digital platforms and their surrounding ecosystem that influence the success of digital platforms. This research is comprehensive but not integrated. The business model as an activity system provides a lens to orchestrate various dimensions of digital platforms. We conduct a case survey of published case studies on digital platforms and analyze their business models using a multi-value qualitative comparative analysis. The resulting business model configurations reveal how surviving digital platforms combine different value propositions, value capture mechanisms, and value creation strategies. We identify four configurations of digital platform business models (matching, spreading, innovating, and dominating business models) leading to digital platform success (i.e., survival). In our future research, we will identify more detailed business model configurations using a larger case sample

Efficiency measurement of cloud service providers using network data envelopment analysis

An increasing number of organizations and businesses around the world use cloud computing services to improve their performance in the competitive marketplace. However, one of the biggest challenges in using cloud computing services is performance measurement and the selection of the best cloud service providers (CSPs) based on quality of service (QoS) requirements (Duan, 2017). To address this shortcoming in this article we propose a network data envelopment analysis (DEA) method in measuring the efficiency of CSPs. When network dimensions are taken into consideration, a more comprehensive analysis is enabled where divisional efficiency is reflected in overall efficiency estimates. This helps managers and decision makers in organizations to make accurate decisions in selecting cloud services. In the current study, variable returns to scale (VRS), the non-oriented network slacks-based measure (SBM) model and input-oriented and output-oriented SBM models are applied to measure the performance of 18 CSPs. The obtained results show the superiority of the network DEA model and they also demonstrate that the proposed model can evaluate and rank CSPs much better than compared to traditional DEA models

Measurement of Returns-to-Scale using Interval Data Envelopment Analysis Models

The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI linkThe economic concept of Returns-to-Scale (RTS) has been intensively studied in the context of Data Envelopment Analysis (DEA). The conventional DEA models that are used for RTS classification require well-defined and accurate data whereas in reality observations gathered from production systems may be characterized by intervals. For instance, the heat losses of the combined production of heat and power (CHP) systems may be within a certain range, hinging on a wide variety of factors such as external temperature and real-time energy demand. Enriching the current literature independently tackling the two problems; interval data and RTS estimation; we develop an overarching evaluation process for estimating RTS of Decision Making Units (DMUs) in Imprecise DEA (IDEA) where the input and output data lie within bounded intervals. In the presence of interval data, we introduce six types of RTS involving increasing, decreasing, constant, non-increasing, non-decreasing and variable RTS. The situation for non-increasing (non-decreasing) RTS is then divided into two partitions; constant or decreasing (constant or increasing) RTS using sensitivity analysis. Additionally, the situation for variable RTS is split into three partitions consisting of constant, decreasing and increasing RTS using sensitivity analysis. Besides, we present the stability region of an observation while preserving its current RTS classification using the optimal values of a set of proposed DEA-based models. The applicability and efficacy of the developed approach is finally studied through two numerical examples and a case study

Designing Fuzzy Expert System to select managers based upon competency Case Study: Middle Managers of Automobile manufacturing company (Iran Khodro)

An essential and inevitable component of the efficiency of an organization is efficient managers. This study aims to design a fuzzy expert system in order to select Automobile manufacturing company middle managers based upon their competency. In contrast to conventional methods, which restrict assessment and measurement to specific criteria and supervisor's opinion, this research provides a comprehensive study to measure and compare managers' abilities. Thus, it has an applicable aspect. In terms of data collections and variables construct, this study is a descriptive research aims to modeling. The method of collecting data is field work and documentary research uses databases and experts' opinions. In order to construct a model, it used a mathematical framework (fuzzy Inference system). After designing a conceptual framework and verifying its validity, a MATLAB fuzzy toolbox has been used to design a fuzzy Inference system. In order to measure competency of a manager, a fuzzy deductive system has been designed at three levels. Sensivity analysis and limit analysis were used to measure the validity of the model. Finally, the designed model has been implemented in the area of research

Analysis of Decision Support Systems of Industrial Relevance: Application Potential of Fuzzy and Grey Set Theories

The present work articulates few case empirical studies on decision making in industrial context. Development of variety of Decision Support System (DSS) under uncertainty and vague information is attempted herein. The study emphases on five important decision making domains where effective decision making may surely enhance overall performance of the organization. The focused territories of this work are i) robot selection, ii) g-resilient supplier selection, iii) third party logistics (3PL) service provider selection, iv) assessment of supply chain’s g-resilient index and v) risk assessment in e-commerce exercises. Firstly, decision support systems in relation to robot selection are conceptualized through adaptation to fuzzy set theory in integration with TODIM and PROMETHEE approach, Grey set theory is also found useful in this regard; and is combined with TODIM approach to identify the best robot alternative. In this work, an attempt is also made to tackle subjective (qualitative) and objective (quantitative) evaluation information simultaneously, towards effective decision making. Supplier selection is a key strategic concern for the large-scale organizations. In view of this, a novel decision support framework is proposed to address g-resilient (green and resilient) supplier selection issues. Green capability of suppliers’ ensures the pollution free operation; while, resiliency deals with unexpected system disruptions. A comparative analysis of the results is also carried out by applying well-known decision making approaches like Fuzzy- TOPSIS and Fuzzy-VIKOR. In relation to 3PL service provider selection, this dissertation proposes a novel ‘Dominance- Based’ model in combination with grey set theory to deal with 3PL provider selection, considering linguistic preferences of the Decision-Makers (DMs). An empirical case study is articulated to demonstrate application potential of the proposed model. The results, obtained thereof, have been compared to that of grey-TOPSIS approach. Another part of this dissertation is to provide an integrated framework in order to assess gresilient (ecosilient) performance of the supply chain of a case automotive company. The overall g-resilient supply chain performance is determined by computing a unique ecosilient (g-resilient) index. The concepts of Fuzzy Performance Importance Index (FPII) along with Degree of Similarity (DOS) (obtained from fuzzy set theory) are applied to rank different gresilient criteria in accordance to their current status of performance. The study is further extended to analyze, and thereby, to mitigate various risk factors (risk sources) involved in e-commerce exercises. A total forty eight major e-commerce risks are recognized and evaluated in a decision making perspective by utilizing the knowledge acquired from the fuzzy set theory. Risk is evaluated as a product of two risk quantifying parameters viz. (i) Likelihood of occurrence and, (ii) Impact. Aforesaid two risk quantifying parameters are assessed in a subjective manner (linguistic human judgment), rather than exploring probabilistic approach of risk analysis. The ‘crisp risk extent’ corresponding to various risk factors are figured out through the proposed fuzzy risk analysis approach. The risk factor possessing high ‘crisp risk extent’ score is said be more critical for the current problem context (toward e-commerce success). Risks are now categorized into different levels of severity (adverse consequences) (i.e. negligible, minor, marginal, critical and catastrophic). Amongst forty eight risk sources, top five risk sources which are supposed to adversely affect the company’s e-commerce performance are recognized through such categorization. The overall risk extent is determined by aggregating individual risks (under ‘critical’ level of severity) using Fuzzy Inference System (FIS). Interpretive Structural Modeling (ISM) is then used to obtain structural relationship amongst aforementioned five risk sources. An appropriate action requirement plan is also suggested, to control and minimize risks associated with e-commerce exercises

Robust optimization in data envelopment analysis: extended theory and applications.

Performance evaluation of decision-making units (DMUs) via the data envelopment analysis (DEA) is confronted with multi-conflicting objectives, complex alternatives and significant uncertainties. Visualizing the risk of uncertainties in the data used in the evaluation process is crucial to understanding the need for cutting edge solution techniques to organizational decisions. A greater management concern is to have techniques and practical models that can evaluate their operations and make decisions that are not only optimal but also consistent with the changing environment. Motivated by the myriad need to mitigate the risk of uncertainties in performance evaluations, this thesis focuses on finding robust and flexible evaluation strategies to the ranking and classification of DMUs. It studies performance measurement with the DEA tool and addresses the uncertainties in data via the robust optimization technique. The thesis develops new models in robust data envelopment analysis with applications to management science, which are pursued in four research thrust. In the first thrust, a robust counterpart optimization with nonnegative decision variables is proposed which is then used to formulate new budget of uncertainty-based robust DEA models. The proposed model is shown to save the computational cost for robust optimization solutions to operations research problems involving only positive decision variables. The second research thrust studies the duality relations of models within the worst-case and best-case approach in the input \u2013 output orientation framework. A key contribution is the design of a classification scheme that utilizes the conservativeness and the risk preference of the decision maker. In the third thrust, a new robust DEA model based on ellipsoidal uncertainty sets is proposed which is further extended to the additive model and compared with imprecise additive models. The final thrust study the modelling techniques including goal programming, robust optimization and data envelopment to a transportation problem where the concern is on the efficiency of the transport network, uncertainties in the demand and supply of goods and a compromising solution to multiple conflicting objectives of the decision maker. Several numerical examples and real-world applications are made to explore and demonstrate the applicability of the developed models and their essence to management decisions. Applications such as the robust evaluation of banking efficiency in Europe and in particular Germany and Italy are made. Considering the proposed models and their applications, efficiency analysis explored in this research will correspond to the practical framework of industrial and organizational decision making and will further advance the course of robust management decisions