No-shows and late cancellations

Fatiha Belabed

Conversation Designer
UX Writer
Content Research
Dovetail
Figma
Miro

No-shows and late cancellations

KRY/LIVI
Team
1 product designer
2 developers
1 product manager
1 data analyst
1 operational
Stakeholders
Operation team
Analytic team
Tools
Figma
Miro
Looker
My role
Explorations
UX Writing
Duration
3 months

Context

We wanted to scale our existing specialities before launching new ones because we didn’t managed to scale our existing specialities (pediatrics, endocrinology, gastroenterology, gynecology and dermatology) as we would like. We noticed a low shift occupancy: Our specialists’ shifts are not used correctly (70% for specialists vs 83% for doctors). The principal reasons are no-shows and late cancellations. This low shift occupancy impacts the retention of our specialists and their motivation.

Challenges

• How might we educate patients about no-shows? • How might we reduce no-shows and late cancellations? • How might we improve shift occupancy and scale our specialities?

Solution

1

Educate patient about no-show and late cancellation

Hypothethis

Patients are not aware of the consequences of not showing up to an appointment.

User story

As a patient, I want to know why it’s important to show up for an appointment.

Solution

A new screen was added to the booking flow with a checklist to engage patients more.

Key actions

• Co-designing with the product designer to find the right component to fit the copy and make sure patients read. • Being data-driven: we finally chose 12 hours’ notice only for patients who book an appointment (and not on the waiting list) because we noticed that most of the appointments are booked more than 25 hours before. By saying 12 hours’ notice, we increase the chances of an appointment being rescheduled. • Writing a concise and clear copy and clarifying to patients why they should cancel if they can’t come. • Changing the oldest way to talk about no-show fee: “Frais de non-présentation” → “Si je ne me présente pas” to make it easier to understand.

Solution

2

Check-list before the appointment (no-show)

Hypothethis

Patients have technical problems (dead battery, broken connection) and do not see the checklist before the appointment (low visibility in the application).

User story

As a patient, I want to be aware of how to prepare for an appointment, so that I don't encounter any technical problems.

Solution

A checklist in the SMS reminder 1 hour before an appointment.

Key actions

• Writing a concise and easy to read SMS, with a friendly tone.

Impact

To analyse the impact, we did an A/B test by adding the screen “Educate patient about no-shows and late cancellations”.
Timeline of comparison: 30 days Number of patients: 9600

No-shows

Control group
10,1% of no-shows on 9600 patients during 30 days.
Test group
8,3% of no-shows on 9600 patients during 30 days.
Progression
1,8% decrease of no-shows.

Cancellations

Control group
34,4% of cancellations on 9600 patients during 30 days.
Test group
31% of cancellations on 9600 patients during 30 days.
Progression
3,5% decrease of cancellations.

Booking flow conversion

Control group
87,3%
of conversion for 9600 patients during 30 days.
Test group
85,7%
of conversion for 9600 patients during 30 days.
Progression
1,6%
decrease for conversions.
No bad impact

Conclusion

Warning patients about a no-show financial penalty as well as reminding them about the impact of no-shows on clinicians and other patients reduces the chance of them no-showing up.
Cancellations were our main risk for the test. Our hypothesis was that reminding the patient to cancel would lead to higher cancellations. Surprisingly, the opposite happened: cancellations decreased.
A drop in conversion from that screen to the next step of the booking flow (payment start) was our second risk metric. Data shows no significant decrease in conversion. We learned that having a warning message does not discourage our patients to move forward with their booking.
© Fatiha Belabed 2023
Paris, France
Partner With Fatiha
View Services