our team


Karen Zeribi

Karen Zeribi

Founding Improvement Advisor

Karen has built a diverse skill set specializing in quality improvement over the last 20 years. Since launching her consulting practice in 2002, Karen has designed, launched and supported quality improvement initiatives in North and South America, Europe, and Africa.

Karen has worked across sectors to facilitate large scale improvement projects that address critical societal issues. In Chile, Karen worked with Fundación Oportunidad Educacional, The Institute for Healthcare Improvement, and Harvard University to build lasting improvement structures in over 8 districts. In the United States, Karen led innovation to engage families in home visiting services with the Home Visiting Collaborative Improvement & Innovation Network in partnership with The Educational Development Center and Harvard University. Karen also facilitated the design, pilot and scale of the Cystic Fibrosis Network in partnership with Cincinnati Children’s Hospital and Cystic Fibrosis Foundation which connects 30 hospitals to date.

Karen is a recognized speaker, coach and facilitator within the quality improvement community. She has a Master of Health Science degree from Johns Hopkins University, and a Bachelor of Science in Human and Organizational Development from Vanderbilt University. She speaks fluent Spanish and is passionate about scuba diving with her husband and children.

Shay Bluemer-Miroite

Shay Bluemer-Miroite

Lead Improvement Advisor

Shay has spent the last 15 years as an advisor and capacity builder in the quality improvement space, working primarily in the health sector. Her passion for improvement work and its ability to transform teams fueled her to successfully lead projects across the globe, in the Caribbean, Kenya, South Africa and Ukraine.

Shay led the development of an improvement initiative that spanned five countries and over 25 healthcare facilities in the Caribbean region. This HIV -focused learning network includes patients as partners in improvement and has strengthened teams, improved quality of care, built sustainability of QI approaches in the region and positively impacted health outcomes for people living with HIV.

Shay has extensive experience mentoring and coaching teams in the application of quality improvement methods. She has led courses and trainings for healthcare teams, patients, and QI coaches that enable them to lead improvement projects. She has supported teams through all phases of these projects; from developing conceptual frameworks to clearly articulate a theory of change to collecting data and institutionalizing best practices.

Shay has a Master’s of Public Health from the University of Washington. She speaks French fluently and enjoys cooking and exploring the world with her husband and their two children.

Christine Domingo

Christine Domingo

Program Coordinator

A native Washingtonian, Christine has always been compelled to help people. After graduating from Western Washington University in Communication and minor in Sociology, she caught the travel bug and moved to Asia to teach English and explore the other side of the world.

Christine has written for numerous company blogs and produced content for both online and television. After several years of writing for other people, she decided her next career move will somehow impact the world in a positive way. As the newest member of the Shift-Results team, she found a company that aligns with her own personal mission to make a difference.

When she’s not busy providing support, creativity and comic relief to the Shift-Results team, she’s chasing after her active two year old daughter, eating her way through Seattle with her husband, and cuddling with her dog.

Nicole Van Borkulo

Lead Improvement Advisor

Nicole Van Borkulo has over 20 years of experience in education, health care Quality Improvement (QI) methodology, and patient and family engagement. She has worked with ambulatory care clinics, clinical teams and healthcare professionals facilitating trainings, coaching staff, and developing curriculum and conducting learning sessions on how to use QI strategies to implement and sustain changes.

Before coming to Shift-Results, Nicole was working for the MacColl Center for Healthcare Innovation leading work using practice facilitators as a way to accelerate and sustain change in 250 small clinical practices across three states. Nicole has directed many Breakthrough Series Collaboratives for both chronic conditions and preventive services, but has especially enjoyed working with primary care practices on the implementation of Patient-centered Medical Home and robust team-based care. She has worked with a number of organizations both locally and nationally including Qualis Health, Cincinnati Children’s Hospital and Medical Center, the Institute for Healthcare Improvement, the Center for Excellence in Primary Care at UCSF, and the Academic Innovations Collaborative at Harvard Medical School.

Nicole has a bachelor’s degree in Sociology from the University of Washington and a Masters in Education from Seattle University. She loves playing and watching soccer and seeing who her two young adult sons are becoming.

Catherine Seneviratne

Project Manager

Over the last 15 years, Catherine has been building and managing international teams. She really enjoys helping individuals and teams find their perfect fit and utilize their talents. She considers herself a “utility player” with a background in operations, human resources, and project management.

Catherine got her start managing an international high school exchange program for the US Department of State.  With her knowledge of grant management and operations, she transitioned to global health.  She established program offices in Zambia and Ethiopia, oversaw operations in Uganda, and managed staffing and program support across eight countries. Catherine has also led pilot projects in Kenya and Ethiopia, and was the project manager for Malawi’s first National Malaria Indicator Survey.

Catherine has a Bachelor’s degree in International Relations from the University of Washington and Master’s in Human Rights from the University of Manchester (UK).  Outside of work, she enjoys spending time with her family.

In addition to our experienced Improvement Advisors,  we also partner with a network of professionals with the specialized knowledge to support your improvement initiative.

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