focus on pathological appearances and changes as revealed by CT and MRI, mentioning any similarities and differences between the CT and MRI signs. “Signal appearances” include image brightness, density, contrast and homogeneity.

Sectional Anatomy for Imaging
Paper, Order, or Assignment Requirements

Sectional Anatomy for Imaging
Assignment 2015-16

Word limit: 1,500 words ± 10% (maximum 1,650 words)

Assignment title:

With reference to a body region of your choice, discuss the anatomical and signal appearances of a common pathology as depicted by MRI and CT.

Learning outcomes:

Knowledge and Understanding

Successful students will typically .
1. Recognise and critically evaluate the anatomical depiction capabilities of the available sectional imaging modalities, such as computed tomography (CT), magnetic resonance imaging (MRI), ultrasound and nuclear medicine.

2. Develop critical responses to anatomical image appearances in unknown or unexpected contexts, such as abnormal variants or disease.

3. Synthesise the complex imaging appearances of human body structures, in order to develop a holistic overview of their inter-relationships and their relevance in health and in disease.

Skills and Attributes

4. Undertake independent visual analysis of complex multi planar images of the human body in order to provide original solutions to clinically relevant questions in diagnostic radiography and radiotherapy.

Guidance:

You will focus on pathological appearances and changes as revealed by CT and MRI, mentioning any similarities and differences between the CT and MRI signs. “Signal appearances” include image brightness, density, contrast and homogeneity. Please include labelled MRI and CT images annotated by yourself in order to illustrate your essay and show your awareness of relevant anatomy and pathological signs. In depth coverage of science is not expected but you should demonstrate an understanding of why the pathology appears as it does. You will need to reference your assignment fully. See the School guidelines to referencing 2015/16. You may refer to up-to- date journal articles as well as textbooks. Reliable internet sources may be used as a source of images. Use a reference list. A bibliography is not needed. There are no word count penalties for images or diagrams.

 

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Should this be a behavioral approach that focuses upon the individual actions of high-risk groups or should the continued spread of the virus be linked to broader social, economic and political forces operating from the local to the global?

Assignment
Paper, Order, or Assignment Requirements

One of the major debates in academic work on HIV/AIDS lies between the suggested

approaches for addressing the problem. Should this be a behavioral approach that focuses

upon the individual actions of high-risk groups or should the continued spread of the virus

be linked to broader social, economic and political forces operating from the local to the

global?

The quotations above exemplify these different approaches. For this assignment, we would

like you to critically read two examples of contemporary research on HIV/AIDS with

this debate in mind. The purpose of this assignment is to:

1) Locate academic articles using the university academic journal searching system.

2) Review the arguments, theoretical frameworks, and conclusions of two

academic articles. Then, use your analytical skills to compare and contrast them.

3) Develop an understanding for the differing theoretical approaches to

understanding HIV/AIDS that come from differing disciplines.

4) Acknowledge how these different methods and different conceptualizations of

how disease is spread affect the type of work produced and ultimately the form of

policy initiatives produced.

5) Practice written communication.

Step one: Locating the articles

Faria, C. (2008) ‘Privileging prevention, gendering responsibility: an analysis of the

Ghanaian campaign against HIV/AIDS’, Social & Cultural Geography, 9:1, 41-73.

Mill, J. and Anarfi, J. (2002) ‘HIV Risk environment for Ghanaian Women: Challenges to

Prevention,’ Social Science & Medicine 54, 325-337.

First go the university library web page at http://www.lib.washington.edu/

Click on ‘e-journals’

Click on ‘S’ or search for ‘Social Science and Medicine’ by writing this in the text box.

Locate the journal and article and print. Note: To print the full text from off campus, login

with your

UW login and password in the upper right of the e-journal page.

Step two: Analyzing the articles

We would like you to compare and contrast the articles, discussing aspects that are of interest

to you and focusing on the similarities and differences between the papers. Your analysis

might include the following key areas.

A short paragraph introducing each of the articles, the background disciplines and ways of

thinking for the each of the authors, and the journal and dates of publication.

A short paragraph including the basic outline of each of the studies and the conclusions of

their work.

The third section should be less descriptive and more critical- it may include comments on

the following. You do not need to include all or any of these- they are simply here to guide

you. You can think and talk about any similarities and differences in the texts.

• From which disciplines are the authors writing? (which departments are they working

in)? How might this affect the approach they take?

• Both articles discuss women and HIV. Compare and contrast the methodological

differences that inform perceptions of women. How does perception affect or shape

health interventions?

• Is gender and unequal gender relations incorporated in each analysis? If so, how?

• How are women conceptualized in each analysis? (As Victims? As Vectors of

disease? As Vulnerable? As Empowered? As Passive?)

• Are risk factors assumed to be based on individual actions rooted in personal

psychology and sexual behavior, social circumstances, the political or economic

context, cultural factors? A combination? Are any factors left out? Is this problematic

or does it create any shortcomings in the argument?

• What new insights did each of the articles give you? How was each useful to you?

Conclude by reinstating the main argument of your paper – talking about what you liked

about each of the pieces and what you found interesting or what you found problematic?

What policies for addressing the problem does each article suggest?

While you may focus on all of these issues, often focusing on the few points you find most

interesting can produce a more thorough analysis than attempts to analyze and synthesize

everything.

 

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To what extent does the global trade in human organs reflect existing inequalities between rich and poor and between the Global North and Global South?

To what extent does the global trade in human organs reflect existing inequalities between rich and poor and between the Global North and Global South?
Paper, Order, or Assignment Requirements

In our examination of bodily commodities, especially as they feed into the development of biotechnologies, we have considered the idea that inequalities fuel the trade in human organs. In this question, you will need to demonstrate your understanding of how inequality shapes access to life, medicines and biotechnology (and how different people enter into the organ trade for many different reasons). Key points to consider in this question are:
• You will need to set out your understanding of the global trade in human organs and explain how it is part of a broader system of bodily commodity production.
• You need to engage directly with the question i.e. it asks ‘to what extent’ do you agree with the assertion and as such is asking you to engage critically with this particular thesis.
• To answer this question you should demonstrate your understanding of the spatial and social patterning of recruitment and access to organs in different parts of the world; you are not being asked to just compare North and South, you should also be looking at inequalities within both regions.
Reading:
Core reading around human organ trade:

 

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Demonstrate how you have applied the Egan model Stage I, II and lll in relation to the client’s needs, issues, goal setting and strategies for problem solving.

Using Egan’s Model on a case study
Paper, Order, or Assignment Requirements

You are required to write a 2 part essay applying Stages I, II and lll of the Egan model to a case study.

There are two parts, 1 and 2
Part 1:
1. The opening paragraph should provide an overview of your modality (which is naturopathy) and a very brief background of the client case study. (not more than 100 words)
2. Provide a critique of the Egan model Stage I, II and lll, highlighting what you believe to be its strengths and weaknesses as they apply to your modality.
Use examples from the case. Please read the article on critical analysis provided in your reading list for this assessment. You will be expected to utilise this as background to your arguments
3. Include a concluding paragraph that summarises your learning.

Part 2:

Demonstrate how you have applied the Egan model Stage I, II and lll in relation to the client’s needs, issues, goal setting and strategies for problem solving.
1. Consider how you might apply:
o Egan’s Stage I ,Stage II and Stage lll including each task of these stages
Identify the client’s needs (as identified and stated by them if you are using a real client case otherwise you would have to imagine what these needs might
be).
o How might you help this client to overcome resistance, reluctance embrace
change and get in touch with their resilience?
o How might you assist the client to utilize their unused opportunities?
o Include the client’s self-identified as well as unidentified resources
o How might you support the client to develop an action orientation e.g. setting
achievable goals and developing appropriate strategies to achieve resolution to their problem/s
2. Discuss your personal learning from using the Egan model with your chosen client, including:
o Insights, feelings and observations about your own interpersonal style/ skills o A self-evaluation of your use of micro-skills
o Your professional practice strengths, as well as areas for future development o What you could have done differently in your work with this client

You should include at least four references including:
Egan, G 2014, The skilled helper: a problem-management and opportunity-development approach to helping, 10th edn, Brooks Cole, Belmont, CA.
Geldard, D & Geldard, K 2012, Basic personal counselling: a training manual for counsellors, 7th edn, Pearson Australia, Frenchs Forest, NSW.

Here is the case study to work off:

Case Study 2 – Martha
Martha is 38 years of age she has suffered two substantial losses in her life within 12 months. The first was the death of her beloved youngest sibling to cancer and the second followed this very quickly with the loss of a long term position in an Integrative Medicine Practice. This was a result of the ‘downsizing’ of the organization due to the Natural Medicine side of the practice struggling to maintain financial viability and positive public scrutiny. Martha has suffered a substantial depression as a result of these circumstances. Was taking anti-depressants and has now been weaned off them however, still feels anxious, feels she is not coping well and has gained an uncomfortable amount of weight which she wants to lose and is finding very difficult. She has not had contact with her meditation group for some time and her friends and family are complaining that she doesn’t go out much anymore.

 

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make recommendations on the following: 1) number of physicians and nurse practitioners needed; 2) reimbursement method: salary or fee-for-service; 3) recommendations for financial incentives to address the challenges of supplier-induced demand and how to ensure efficiency.

Supply of health services
Paper, Order, or Assignment Requirements

Note: The Instructor will post the document for this Assignment by Day 1 of Week 4.
To deliver health care services, an ACO needs to create a competent workforce that can provide health care to the patients that are in the ACO. Some integrated ACO entities already have employed physicians and mid-level providers that receive salaries from the organization, whereas other non-integrated ACO entities need to invest in external relationships with independent physicians and other providers. Since ACOs do not have managerial control over non-employed providers, additional controls and incentives may be necessary to ensure that efficiency is maximized. ACOs also need to consider the number and mix of specialists (e.g., family practice vs internal medicine) and mid-level providers (e.g., physician assistants and nurse practitioners) in delivering primary care services that can promote value. Maximizing value requires appropriate workforce decisions on supply and incentives to encourage providers to minimize costs. For this Assignment, examine the Week 4 Assignment document and consider the efficiency in the supply of health services.
To prepare for this Assignment:
Review the scenario and Week 4 Assignment document provided to you by the Instructor. Based on the financial data, conduct a financial projection (revenues, expenses, and profit) that analyzes the efficiency of the supply of health services.
Note: This Assignment will be graded using this rubric: Document: Week 4 Assignment Rubric (Word document)
The Assignment:
In a 2- to 3-page Word document that includes tables and/or calculations, make recommendations on the following: 1) number of physicians and nurse practitioners needed; 2) reimbursement method: salary or fee-for-service; 3) recommendations for financial incentives to address the challenges of supplier-induced demand and how to ensure efficiency. Interpret the net profit from the ACO contract based on your recommendations. Explain the rationale behind your recommendations, including the impact made by your financial calculations.

 

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Discuss how managed care organizations design, market and sell their products to consumers, including individuals and companies.

Managed Care
Paper, Order, or Assignment Requirements

Part 1
1. I am interested in your ideas on how managed care organizations can more effectively prevent diseases or more specifically preventing the spread of disease among its contracted population. In other words, what can HMOs do to promote health and reduce illness rather than treating it after the fact. Address cost implications, patient receptivity, provider cooperation and other factors impacting this issue.
2. One of the cornerstones of Accountable Care Organizations is the use of Evidence-Based Medicine. What is this, what are the negatives of EBM, and how can HMOs encourage the positive benefits of EBM.
3. The Health Care Industry has espoused “quality management” for decades. Please identify and briefly discuss three quality management processes, at whatever level you wish (insurance companies, hospitals, medical groups, nursing homes, etc.).
Part 2
1. Years ago it was quite common for HMOs to offer a wide range of behavioral health services, including in-patient hospitalization. More recently, HMOs have limited in-patient programs and encouraged out-patient services. Discuss some of the reasons for this shift.
2. One of the benefits to patients joining an HMO is the relatively strict peer-review and physician credentialing process required for accreditation. Discuss why the credentialing process is important and how it relates to quality management.
3. Discuss how managed care organizations design, market and sell their products to consumers, including individuals and companies.
4. Years ago when I worked for an HMO is Arizona, we contracted with a private company to provide our HMO with hospital discharge and cost data by physician specialty. We used this data to contract with the more cost effective physicians in the State. In effect, we were “provider profiling”. What are some of the potential negatives with using this type of data in the provider contracting process?
Part 3
1. In an attempt to improve quality in managed care, a report called HEDIS was established and expanded upon over the years. What is HEDIS and what is its proported value to health care?
2. One of the most important documents established between a contracted medical group and an HMO is a DOFR (Division of Financial Responsibility). Discuss the DOFR and identify three reasons why this document is important.
3. The American Recovery and Reinvestment Act of 2009 included a provision to establish the HITECH Act (Health Information Technology for Economic and Clinical Health Act). Identify and discuss three provisions of this Act.
4. Identify and discuss three basic ways to ensure the accuracy of claims processing within managed care.
Part 4
1. ACA requires HMOs to achieve a certain “medical loss ratio”. What is a “medical loss ratio” and why is this an important issue?
2. After the passage of Medicare, the federal government has played a major role in setting health policy. Identify and briefly discuss three federal laws regulating health care which have had a material impact on HMOs and the health care industry in general.
3. Over a dozen years ago, California established the Department of Managed Health Care, one of the first in the nation to recognize that HMOs were different from other forms of health care insurance. Please identify and discuss three major functions of this Department.
4. Incurred But Not Reported (IBNR) in claims processing can (and has) led to insolvency on the part of some medical group. Discuss IBNR and identify several ways capitated medical groups try to address this issue.
5. There are two basic methods HMOs (and other insurance companies) use to rate the risk of providing insurance to employers: experience rating and community rating. Briefly discuss each method and explain the merits and problems associated with each method.

 

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Briefly provide the background/context of the practice issue. Integrate at least two of the six dimensions of quality defined by the IOM.

Quality improvement
Paper, Order, or Assignment Requirements

NU 613 GUIDELINES FOR QI ASSIGNMENT Student Name:
Quality improvement (QI) can be defined as the effort to better patient outcomes, system performance, and professional development (Batalden & Davidoff, 2007). The Institute of Medicine (IOM) has challenged professionals to improve healthcare quality, with quality described using the following six domains: safety, timeliness, effectiveness, efficiency, equity and patient-centeredness. These quality aims provide a framework for focusing improvement efforts. The unrelenting engagement of all providers is required to transform healthcare. APNs are well positioned to lead quality initiatives by virtue of their advanced knowledge and preparation. To effectively lead quality improvement requires understanding that organizations are complex adaptive systems; dynamic, unpredictable, and are composed of moving parts. Knowledge of theoretical underpinnings of change (theory explicating the phenomenon of human behavioral change) is foundational to successful improvement. A wide variety of QI models, tools, and methods are available to guide the APN in facilitating improvement.
For this assignment, select a practice improvement issue within your organizational system and within the realm of your practice area. Using the grading rubric as a guide, develop a quality improvement plan to address the identified issue. The purpose of this paper is to demonstrate knowledge of the essential elements of quality improvement, with change theory as an underpinning for the process. Students are not expected to implement the plan; however, the process for implementation and evaluation is addressed as part of the planning process.
The paper should be carefully written in a formal style, based on primary sources, provide an integration of ideas, and be 4-6 pages in length, excluding title page & reference list. Organized flow, logical progression of ideas, and clarity in thought are essential. Please use headings to separate content.
Deductions:
Papers over the page limit will be penalized by a disregard of content over the page limit.
Scholarship Expectations:
A lack of Scholarship deduction of up to 20% of the total point value of the assignment will be applied to address such deficiencies as APA errors, Title or Reference page errors, a lack of clarity and conciseness in writing, grammatical and spelling errors, exceeding the prescribed page limit, and poor overall writing skills. For example, an assignment worth 15 points could have a maximum lack of scholarship deduction of 3points (20% x 15). The amount of the deduction will be at the discretion of the faculty member.
You are clinical nurse scholars in the making. You are the nurses with advanced education/DNPs and members of the highly literate profession of advanced practice nursing who will chart the future of health care. Good writing ability is as much a required skill for nurses in advanced practice as performing clinical functions. Therefore, precision and scholarship is expected in all assignments.

Possible Points

Introduction paragraph (one paragraph). Introduce a practice issue appropriate for a quality improvement project facilitated by a MSN or DNP prepared nurse. There must be a thesis statement at the end of the paragraph that tells the reader the purpose of paper and what will be discussed.
1
Briefly provide the background/context of the practice issue. Integrate at least two of the six dimensions of quality defined by the IOM.

3

Discuss a theoretical underpinning of change (Lewin, Rogers, Kotter, Havelock, Proschaska & Diclemente, Bandura) for the proposed quality initiative. Using the selected change theory, describe the profound importance of staff engagement, empowerment, commitment, and ownership of practice improvement initiatives/projects.
4
Describe how at least one improvement tool (flow chart, root cause analysis, cause and effect diagram, FMEA, etc.) can be used to better understand the practice issue.



4
Select a model (e.g., PDSA, FADE, Six Sigma, TCAB, TeamSTEPPs) for the quality improvement project. Describe the model and summarize the practice improvement initiative/intervention(s) using the steps of the model.
6
Discuss the resources (human, structural, financial) required for this organizational systems change




2
Propose evaluation method(s) of quality measures. (What qualitative and quantitative methods are identified to determine effectiveness of quality initiative?) Identify both process and outcomes performance measures for determining effectiveness of your intervention(s). Identify at least two visual displays for data reporting of outcome data (e.g. histogram, run chart, pie chart, bar graph, etc.). How would qualitative findings contribute to the evaluation of this quality initiative?
4
Conclusions: Summarize the essential points of paper (one paragraph).


1
Subtotal:




Deductions:
Total:

 

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In active military patients with PTSD (P) how does the use of SSRI’s (I) compared to CBT (C) influence suicide rate (O) over 1 years time after diagnosis of PTSD (T)?

In active military patients with PTSD (P) how does the use of SSRI’s (I) compared to CBT (C) influence suicide rate (O) over 1 years time after diagnosis of PTSD (T)?
Paper, Order, or Assignment Requirements

This is the grading rubric for the research paper based on the PICOT question. You may alter PICOT question if needed.

Purpose: To incorporate theory and other evidenced based practice evidence using a patient experience (case study). This assignment is designed to help you identify a patient issue or advanced nursing practice problem using a case study to communicate in writing the application of valid evidence (research and theory) to clinical practice to improve patient outcomes. You will be completing a literature review, critiquing research articles to develop an evidence table for your paper, evaluating available evidence that can be applied to your advanced nursing practice, gaps in research and implementing evidence into your anticipated role after graduation. Although you will be doing all of these activities to write your paper, you summarize in your paper your findings, not about all the details related to the activities you completed to write your paper.

Body of paper: Length is required to be between 10 and 12 pages double spaced (not including title, abstract, appendix and reference pages). Any additional pages added to the body of the paper, after page 12 will not be included in the grading process using the rubric below. The paper should be in APA 6th edition format, except the title page (use the sample posted on Blackboard).Use Times New Roman and 12 point font. (100 points)

Elements must include but are not limited to:
o (10 points) APA Format and Grammar (Don’t forget about the graduate writing center through RAGE/GROWL)
Ø Abstract: Get the reader’s attention. May use etiology, epidemiology, etc. to stress the importance of the topic in 200 words or less. See the APA manual for description of abstract content
Ø Reference (In text and reference page), see APA manual for order of paper, proper citation and plagiarism information

o (10 points) Introduction
Ø Summarize direction of your paper, don’t repeat Abstract but add more detail related to the background and significance of the problem for related patient population and/or APN role perspective (eg. mortality rate or prevalence epidemiology in the US). Include why the topic is important to the APN, patient, healthcare, economics, family genetics, etc)
Ø Include your PICOT question/statement: Write in a sentence format. Label each letter with parentheses after each section Problem or/Population (P), Intervention (I), Comparison (C), Outcome (O), Time (T). Case Study up to four short sentences Giving a clear example of the population- who would be affected by this problem? Be Specific to the most common gender, age group, may include diagnosis, intervention, comparison (specific or class of medications) — depending on topic and PICOT, and time frame.

o (25 Points) Review of medical topic
Ø Case Study (Concise): List all the significant history, cc, etc.- not all the normal information unless significant for the case to rule out differential diagnoses (The case study should be one to two paragraphs in length). This is different than what you would document in a patient chart. This is a summary of a clear example of the population- who would be affected by this problem? Be Specific to the most common gender, age group, may include diagnosis, intervention, comparison (specific or class of medications) — depending on topic and PICOT, and time frame.

o (35 Points) Review of Literature and Research
Current research review (<5 years old)
Ø Include a Practice guideline for your topic or a Systematic Review and a minimum of 2 peer reviewed articles to answer your PICOT statement/question. All should be referenced and (concise) summarized. You will complete a critical analysis to decide if the findings were significant but all the details from the critical analysis (use the tools from your Melnyk textbook) will not be included in your paper. Only use the most relevant evidence and statistical tests with values related to your case study and PICOT question in your paper and evidence table.
Ø Evidence Table minimum elements that should be present include: author, year, study design, number of subjects, methodology, significant findings or pertinent insignificant findings with associated statistical tests and their values
Ø Discuss research gaps and their limitations or barriers to applying evidence to Advanced Practice Nursing and/ or gaps in practice, if the evidence is available but not being applied in practice

o (10 Points) Relevance and Implications for APN
Describe the relevance for your practice as an APN in reference to your case study support your evidence-based decision making processes with the practice guideline and other research listed in your evidence table to develop a patient centered treatment plan. (Use the NP core competencies and practice guidelines to help you).
Ø Discuss whether you would incorporate new research published (from your evidence table to answer your PICOT question) after the practice guideline to your treatment plan for this patient, or not and why.
Ø Evidence-based treatment plan for the patient in your case study (Use your practice guideline and any significant research to develop your brief plan. Suggested significant (concise) applicable elements that may be included are: psychosocial, cultural, genetic/genomics, assessment, co-morbidities, differential diagnoses, pharmacological, holistic approaches such as alternative medicine treatments (including CAM) treatments, interprofessional collaboration.
Ø Application of Theory or conceptual model –List the name of the theorist or authors if you use a conceptual framework model. Apply the concepts to the patient in your case study. In order to receive full credit you must demonstrate your understanding of how to apply the theory or conceptual model specifically to the patient in the case study you developed in an APN role

o (10 Points) Summary/Conclusion- Case and Implications
Ø Application of best evidence to improve patient outcomes using research, theory in an Advanced Nursing Practice role (make sure it is within your scope of practice or be clear what your role would be related to the PICOT statement and Case Study). Don’t repeat the abstract or all the details in the body of your paper but summarize the most important points in your paper that you want the reader to remember about the patient, evidence available , gaps in research, theory and your role as the APN to answer your PICOT question. Use in text referencing to support your summary with evidence (research and theory) for the most significant variables related to your PICOT question and case study including supporting statistical test and values using your APA manual.

 

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Historically, has Bayer used traditional or contemporary control?

Case Study
Paper, Order, or Assignment Requirements

The Bayer Control Case

WSJ April 3, 2015

1. Historically, has Bayer used traditional or contemporary control?
2. The decision to spin-off the plastics division: Is Bayer using informational or behavioral control?
3. Which of the following does Mr. Dekkers intend to change: Culture, rewards or boundaries?
4. What financial fact has limited decision making at Bayer?
What strategic priorities is Bayer focusing on?
5. Do a little internet research on co-determination and apply that concept to this case.
Bayer’s CEO Injects a Dose of U.S. Risk-Taking

CEO Dekkers prepares for spinoff of specialty-plastics business

By CHRISTOPHER ALESSI

pril 3, 2015 7:27 p.m. ET

LEVERKUSEN, Germany—The company that invented aspirin is reinventing itself—again.

Bayer AG has long been a household name to Americans who associate its iconic cross logo with the painkiller. Few know the 150-year-old German pharmaceuticals giant’s product line also includes brands from Flintstones chewable vitamins to blood thinner Xarelto.

Marijn Dekkers, Bayer’s Dutch-born, U.S.-trained chief executive, is out to change that.

Since he took the helm in 2010, Mr. Dekkers has rocked Bayer’s staid culture by demanding that division heads have marketing backgrounds rather than science pedigrees. He presided over the launch of five new blockbuster drugs and has beefed up the group’s over-the-counter drug business with the $14.2 billion acquisition of U.S.-based Merck & Co.’s consumer-care division.

Now he is preparing to spin off Bayer’s $10 billion specialty-plastics business, part of a larger effort to refocus the company on its health-care and agriculture businesses.

Mr. Dekkers, who is 57 years old and spent 25 years of his career in the U.S., says he is trying to transplant the best of American corporate culture to his overly planned German company. His priorities have been speed, adaptability and more risk-taking.

U.S. companies often operate on an “80-20 rule,” he said in a recent interview, meaning they begin to execute ideas with only 80% of necessary data in hand. “Here, if I would be kind, in the beginning, we had a 99-1 rule. And I’m kind.”

Mr. Dekkers suggested Bayer’s aversion to risk was rooted in Germans’ fear of failing. More broadly, that sensibility explains the lack of a “venture-capital mentality,” which is hurting the country’s global competitiveness, he said.

An avid tennis player, Mr. Dekkers said that while living in Boston, half the friends he played against were venture capitalists. After five years in Germany, he added, “I have yet to meet the first tennis partner who’s a venture capitalist.”

Instead, his tennis partners tend to be lawyers, tax consultants and financial types—“a lot of consultants,” he said, underscoring the apparent dearth of venture capitalists in the German business world.

Bayer’s makeover under Mr. Dekkers is the latest for a company founded to produce synthetic dyes, and which in the 1920s and 1930s was a major player in the I.G. Farben chemicals cartel—a supplier of Zyklon B and other deadly chemicals for the Nazi war machine. Today it is the largest company by market value—with a market capitalization of €114.78 billion ($125.37 billion) —in Germany’s DAX-30 blue chip index and should retain that title after the plastics divestment. Bayer employs 118,000 workers world-wide and took in €42.2 billion in revenue in 2014.

The plastics division, called Material Science, could be spun off directly to shareholders but Mr. Dekkers suggested an initial public offering could be preferable because it would generate cash. He said Bayer’s €20 billion in debt “is not an impossible number” but limits financial “flexibility.” Cutting debt “would always be good,” he said.

Plans to divest Material Science started about a year ago. As executives discussed company strategy, it was clear the business would require big capital investments to stay competitive. “I said, ‘We can just not do this anymore,’” Mr. Dekkers recalled, noting that investing in the health-care or crop-science businesses yields far greater returns.

Crop Science posted earnings before interest and taxes of €1.81 billion last year, while Health Care reported an EBIT of €3.58 billion for last year, boosted by sales of the five new prescription drugs. That series includes Xarelto, which operates under a partnership with Johnson & Johnson in the U.S.; eye treatment Eylea; cancer drugs Stivarga and Xofigo; and pulmonary hypertension drug Adempas, which contributed combined sales of €2.9 billion last year and are projected to reach near €4 billion in 2015.

Material Science—which manufactures polycarbonate, polyurethane and other polymers used in products ranging from laptops to soccer balls—contributed EBIT of only €555 million, down from €1.04 billion in 2007.

Still, some analysts are skeptical that Bayer’s drug pipeline is strong enough to deliver many new products with selling power like the current wave. But Bayer expects at least three new drugs in midstage clinical testing, including two for chronic heart failure, to advance this year. “Strong data is expected” for those trials, said Ali Al-Bazergan, an analyst at Datamonitor Healthcare in London.

Mr. Al-Bazergan said Bayer’s pharmaceutical division is poised to benefit from new synergies as the group becomes a more integrated life-sciences company.

Investors have largely welcomed Mr. Dekkers efforts to streamline Bayer. Its share price hit an all-time high of €145.85 in mid-March, up roughly 60% from a year earlier.

“Dekkers is definitely listening to shareholders,” said Odile Rundquist, an analyst with Helvea SA of the Baader Bank Group, who credits investors with prompting Bayer’s tighter focus.

“Material Science really didn’t fit in a life-sciences company,” said Markus Manns, a portfolio manager at Bayer shareholder Union Investment Privatfonds GmbH.

That strategy fits a growing trend in the drug industry, said Ms. Rundquist, noting that Switzerland’s Novartis AG and the UK’s GlaxoSmithKline PLC have both recently taken similar paths.

Mr. Dekkers said he faced initial resistance to the separation from employee representatives on the supervisory board who were concerned about maintaining the division’s 17,000 jobs. He ultimately won approval from all 10 representatives by guaranteeing current employment levels for a number of years, he said.

The planned divestment comes on the heels of the Merck acquisition, which allows Bayer to expand its nonprescription offerings and stamp the Bayer cross on products ranging from Claritin allergy medicine to Coppertone sunscreen.

Mr. Dekkers’s bet in the Merck deal is that Bayer’s global consumer sales network offers a pipeline for its new American products to other countries, while shoring up the Bayer brand in the U.S.

The brand name is important to Mr. Dekkers, who recalls that when he joined Bayer he thought its OTC offering “was just aspirin.” American consumers, he said, “used to see ‘Bayer’ only on aspirin—the ugly yellow bottle.”

Mr. Dekkers left the Netherlands for the U.S. in 1985, with no plans to return. His American career included stints at General Electric Co., where he currently sits on the board, Honeywell International Inc. and, most recently, at Thermo Fischer Scientific Inc., where he was chief executive.

When he moved to Germany five years ago with a U.S. passport and an American wife and children—who spoke neither Dutch nor German—some Bayer staff worried he was “just an American,” or “somebody who was just interested in shareholder value,” he said.

One former Bayer employee, who was with the company from 2006 through 2014, said some staff had feared the company’s small-town, traditional values would be undermined by a foreigner. “Leverkusen was Bayer town,” the person said, noting that Bayer used to run a local swimming pool—which it stopped doing well before Mr. Dekkers came aboard—and still sponsors a local equestrian club. Bayer sponsors 26 clubs in total, including the professional Bayer 04 Leverkusen team.

The person said initial employees fears have largely dissipated, while Mr. Dekkers has struck a balance between addressing shareholder concerns and respecting company tradition.

For Mr. Dekkers, who is set to step down at the end of 2016 and will likely return to the U.S., the goal of his tenure has been to find the right balance between the American and German business approaches. “Making it more 90-10 than 80-20 or 99-1 is very important,” he said.

 

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