our team

Karen Zeribi, MHS

Founder and Executive Director

Karen founded Shift-Results in 2016, building on 20 years of experience in designing, launching and coaching quality improvement initiatives in North and South America, Europe, and Africa. Karen has worked in education, health and social services to facilitate large scale improvement initiatives, primarily through networking multiple organizations or systems together to meet a shared aim. In addition to her expertise in designing and running networks, Karen also has designed and taught quality improvement courses ranging from basic to advanced skills in English and Spanish.

Nicole Van Borkulo, MEd

Lead Improvement Advisor 

Nicole began her career teaching middle school in Seattle before transitioning to quality improvement. She has over 20 years of experience applying quality improvement methods to improve education and health outcomes. With an emphasis on cultural competency and client/ family engagement, Nicole 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.

Christine Domingo, BA

Project 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. As the third member of the Shift-Results team, she found a company that aligns with her own personal mission to make a difference. Her hobbies include chasing after her active two year old daughter, eating her way through Seattle with her husband, and cuddling with her dog.

Shay Bluemer Miroite, MPH

Lead Improvement Advisor

Shay has spent the last 15 years as an advisor and capacity builder in the quality improvement space. Shay currently leads Shift-Results efforts on the BELE Network and Erikson Family Childcare Networks. Her passion for improvement work and its ability to transform teams fueled her to successfully lead projects across the globe, in the United States, Caribbean, Kenya, South Africa and Ukraine. Shay led CaReQIC, an initiative that spanned four countries and over 25 healthcare facilities in the Caribbean region.

Erin Moore, BS

Family Leadership Coach

Erin is passionate about the inclusion of family, student and patient voices in improvement efforts. She currently guides the HV-CoIIN 2.0 and Cystic Fibrosis Learning Network in building infrastructure and culture to foster distributed leadership and active family participation. Erin has served as a Patient Advisor for The Robert Wood Johnson Foundation’s Data for Health Initiative, US Food and Drug Administration, and The White House Office of Science and Technology Policy on the Obama Administration’s Precision Medicine Initiative.