UTHSCSA Faculty Profiles v1.0

Borgfeld, DNP, RN, NE-BC, Joyce Klemm

School of Nursing
Office for Faculty Excellence
(210) 567-0234

Throughout my professional career I have made it a commitment to lead and innovate. In academic education I was selected to attend the Teaching Excellence in Simulation Education course at Arizona State University and pioneered four high-fidelity simulations for 270 undergraduate students in their first course. I piloted the first University-based RN Refresher course in Texas and established clinical partnerships in San Antonio, Houston, Dallas and rural areas. More than 100 registered nurses have completed the program since 2010. I successfully directed the Department of Lifelong Learning through the American Nurses Credentialing Center`s Commission on Accreditation year-long initial accreditation process in 2014 and re-accreditation process in 2016. The Department was praised for incorporating simulation and other innovative learner engagement strategies into continuing education activities. During my 20-year military career I was selected to lead the first medical management program for the San Antonio military health system consisting of two Level-1 trauma centers and one ambulatory care center with 1.3 million visits annually. Optimized "in-system" capabilities to contain referrals and capture 85% market share. As Director of Operations, I led daily operations for 11 medical/subspecialty clinics, 42-bed inpatient medicine unit, and the Air Force`s only bone-marrow transplant unit; indirectly supervised 465 inter-professional staff, including 108 registered nurses. I was the only nurse on the clinical analysis team at Wilford Hall Medical Center. I conducted evaluations for all clinical activities including costs, case-mix and revenue potential, to assist local, regional and Tri-Service leaders to improve and optimize healthcare services for over 187,000 beneficiaries. I was the first nurse to lead a team of 130 military, civilian, and contract computer system and call center specialists in sustaining 100 Military Health System technologies located at over 315 medical treatment facilities worldwide. My areas of expertise are executive leadership, clinical informatics/analytics, medical management (case management, utilization management, and population health), nursing education, and professional development. My scholarly work is currently focused on advance care planning and I have directed the development of the annual Geriatric Conference curriculum on palliative care and advance care planning since 2015 in support of the Institute of Medicine (2015) recommendations for more effective advance care planning and the development of primary palliative care competencies by all healthcare professionals in all practice settings.

12/2016 - Present Assistant Professor/Clinical and Lead Nurse Planner The University of Texas Health Science Center at San Antonio, School of Nursing, San Antonio, TX