Vicki is the Program Manager for Regional Informatics through Vanderbilt Center for Better Health. Her primary role is to coordinate the regional informatics activities surrounding state regional demonstration project (SRD) in Memphis, TN, funded through AHRQ and the state of Tennessee. She focuses on governance, operations planning, security/privacy/legal, and other policy related issues. Related to her role with the Tennessee SRD project she facilitated the implementation of the Connecting for Health Policy and Legal Framework.

Vicki trained in Industrial Engineering at Georgia Tech. After several years as a management engineer at Vanderbilt, Ms. Estrin served as co-lead of a major performance improvement initiative for the University of Wisconsin Hospital and Clinics. In this capacity, she coordinated internal projects for interdepartmental improvement efforts and worked with over 80 community hospitals in the areas of performance improvement, management engineering, information technology analysis, and patient acuity systems.

Returning to Nashville to work with a for-profit system, Vicki consulted with over 200+ hospitals' boards of trustees, senior management teams, medical staffs and department directors in planning and performance improvement activities. She advanced within her firm and directed two consulting practices focused on productivity management and quality management. She directed research and development efforts to assist rural healthcare facilities with cost management strategies. She also served as a project manager for productivity and benchmarking system used by over 200 hospitals.