America's Future · Cohort Watch

Veterans 65+ — diabetic eye exams

Older veterans with diabetes due for an annual retinopathy screening through VA-affiliated clinics.

High gap · 41%Overall priority rank #2

What one action helps most

Close the screening gap — biggest lever

41% of this cohort has an open screening gap; one outreach push closes the largest share of risk.

A signal to act, not a diagnosis.

Priority

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Intervention-priority score

priority = screening gap × risk weight × log₁₀(size). It ranks where a single action closes the biggest closable gap. Higher = act sooner. It is aggregate decision-support, not a diagnosis.

121

Screening gap

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Screening gap

The share of this cohort with an open screening gap (0–100%). Higher means more people are due for a screening they have not yet had.

41%

Size

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Cohort size

The number of people in this aggregate group — a count only, never a list. Larger high-gap groups rank higher because one action reaches more people.

9,600

Risk factors
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Risk factors

The aggregate drivers behind this cohort's overall risk, each weighted 0–1. The heaviest factor is the most useful place to target outreach.

  • Years since diabetes diagnosis78%
  • Transportation access66%
  • Comorbid hypertension59%

Trend over time
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Trend

Compares the screening gap in the most recent period to the one before it. A falling gap is improving (fewer people unscreened); rising is worsening.

Worsening

Screening gap up 1 pts vs Q3 2025.

Screening gap by period for Veterans 65+ — diabetic eye exams
PeriodScreening gapRisk
Q1 202538%72%
Q2 202539%73%
Q3 202540%74%
Q4 202541%74%

Provable-first: a SHA-256 over this cohort's exact aggregate numbers and the published method.

cohort.audit
$ priority "Veterans 65+ — diabetic eye exams"
gap=41% risk=74% size=9600
priority=121
sha256: b771a290a00b8e50017c14d15bfeba6b9339fd35fd8b4954bece3528e36f68f0

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