our team

Karen Zeribi, MHS

Founder and Principal

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.

Nilufar Rahman, MPH

Quality Improvement Specialist 

After completing her Bachelor’s in Public Health and Sociology from the University of Washington, Nilufar was eager to move to the healthcare hub of the country where she completed her Master of Public Health from Boston University, focusing on Health Policy and Management. Nilufar contributed to QI initiatives at the Division of Developmental and Behavioral Pediatrics at Boston Medical Center and implemented Lean management principles at Boston Children’s Hospital. Prior to Shift-Results, Nilufar worked for a cloud-based EHR vendor where she traveled to critical access hospitals. Outside of work, she enjoys taking evening walks at Gas Works Park, exploring new coffee shops, and consuming all the fine sushi Seattle has to offer.

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.

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.

Catherine Seneviratne, MA

Project Manager 

Catherine has worked in global health for the last 15 years as a project manager and operations lead. She has established offices abroad, built teams and overseen projects across Eastern and Southern Africa. Catherine is an experienced grant writer and manager having worked with US Agency for International Development, US Department of State, UK Department for International Development, Malaria No More UK, and The Bill and Melinda Gates Foundation. Catherine is Project Manager for the BELE Network and provides operational support to all Shift-Results initiatives. 

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. 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.