America's Future · Cohort Watch

Adults 65+ — pneumococcal vaccination

Seniors eligible for but missing a recorded pneumococcal vaccination.

Low gap · 19%Overall priority rank #4

What one action helps most

Maintain + monitor

Gap and risk are contained; keep current screening cadence and watch the trend.

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.

54

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.

19%

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.

12,300

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.

  • Chronic respiratory condition72%
  • Congregate living50%

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.

Improving

Screening gap down 2 pts vs Q3 2025.

Screening gap by period for Adults 65+ — pneumococcal vaccination
PeriodScreening gapRisk
Q1 202526%71%
Q2 202523%70%
Q3 202521%69%
Q4 202519%69%

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

cohort.audit
$ priority "Adults 65+ — pneumococcal vaccination"
gap=19% risk=69% size=12300
priority=54
sha256: ae57361e8c531bb55f129a7d7165ecd27709e1cc6e60b3aef18994f959479f37

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