Metrics question
New patients are not showing up for their first telehealth appointment. How would you solve this issue?
- Shopify
- One Medical
- Metrics
- Medium
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What this question tests
Root cause diagnosis for a healthcare specific funnel drop, and designing a fix appropriate to a sensitive, high stakes context.
How to approach it
- Segment the no show population, new patients specifically, compared against returning patient no show rates, to confirm this is a first time specific problem.
- Hypothesize causes, confusion about how to join a video call, forgetting the appointment, or anxiety about a first telehealth visit.
- Investigate via patient surveys or exit interviews with a sample of no show patients to validate the real cause rather than guessing.
- Propose fixes matched to the confirmed cause, a test your connection step sent beforehand, or a reminder call the day before for first timers.
- Define the metric, first appointment no show rate, tracked before and after the fix, segmented by booking channel.
What a strong answer includes
- Segments specifically on new patients since the question already isolates this group, then digs further by booking channel or age group.
- Proposes a fix grounded in a likely real cause, a pre appointment tech check reducing could not figure out the link no shows.
- Sets a clear before and after metric with a segment specific target, cutting first appointment no shows by 20 percent within a quarter.
Common mistakes
- Proposing a generic reminder text fix without first validating the actual root cause.
- Not comparing new patient no show rate against a baseline like returning patients.
- No before and after metric to prove the fix worked.
Likely follow-up questions
- How would you design the patient survey to find the root cause?
- What would you do differently for older patients less comfortable with video calls?
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Learn the skill behind it
Chapters of the AI PM course that teach what this question tests.
- Chapter 9: Prove it paid off: outcomes, economics, and pricing
- Chapter 2: Data fluency: SQL, logs, and reading the truth yourself
- Chapter 14: Get the job: the AI PM interview loop