I started my career as a clinical case manager working for an insurance company.  Each patient’s case file was entered into a mainframe data base by the clinicians interviewing the provider of care.  In this pre-internet time, I noticed how cumbersome and time consuming it was to enter a single case from start to finish in the system, or to find information about the case quickly.

So, I mapped out the system on paper to better understand how it worked (see my very first site map/ user flow below).  Then I talked to the engineers who worked on the database and convinced them to “re-arrange things” so that the flow was more streamlined and user friendly.  Little did I know there was a job for just this type of re-arranging, and the CTO of the company asked me to join the technical team as an Application Designer.  And as they say, the rest is history….

My idea of how the mainframe system was structured - circa 1992
My idea of how the mainframe system was structured - circa 1992