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Add post to cohort manager: DES Designing the future of DES cohorting (#233)
* DES Designing the future of DES cohorting * Update app/posts/cohort-manager/2025/09/2025-09-12-designing-the-future-of-diabetic-eye-screening-cohorting–our-collaborative-approach.md Co-authored-by: Ed Horsford <[email protected]> * Update app/posts/cohort-manager/2025/09/2025-09-12-designing-the-future-of-diabetic-eye-screening-cohorting–our-collaborative-approach.md Co-authored-by: Ed Horsford <[email protected]> * Update app/posts/cohort-manager/2025/09/2025-09-12-designing-the-future-of-diabetic-eye-screening-cohorting–our-collaborative-approach.md Co-authored-by: Ed Horsford <[email protected]> * Update 2025-09-12-designing-the-future-of-diabetic-eye-screening-cohorting–our-collaborative-approach.md * Update 2025-09-12-designing-the-future-of-diabetic-eye-screening-cohorting–our-collaborative-approach.md * Move files --------- Co-authored-by: Ed Horsford <[email protected]> Co-authored-by: Frankie Roberto <[email protected]>
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title: Designing the future of diabetic eye screening cohorting – our collaborative approach  
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description: How we co-created our desired to-be vision for DES cohorting with the program and wider stakeholders
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date: 2025-09-12
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author: Chloe Eaborn
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tags:
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- discovery
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- cohort manager diabetic eye screening
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---
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Our collaborative sessions with the program enabled us to generate fresh ideas, refine existing ones, and validate them through stress-testing with subject matter experts. This co-creation process laid the foundation for shaping a future cohorting journey that is both user-centred and technically sound.
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## What we did
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We began by translating the strongest ideas into a first draft of the future cohorting journey. Using Mural, our team developed several rough iterations, focusing on high-level concepts while deliberately avoiding premature solutionising.
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Through this iterative process, we merged two of the three key ideas, discarding the third after assessing its feasibility and alignment. The outcome was a first-pass journey map that captured the experience of key users (participants, clinicians, diabetic eye screening providers, and QA teams).
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To ensure the journey was viable, we engaged technical teams, product leads, and business analysts to gather feedback and validate both the user-centred design and technical feasibility.
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In parallel, we created a system-agnostic flow, ensuring the design could stand independently of existing systems and wasn’t simply retrofitted to current products.
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## Workshop: playback and feedback
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We shared our progress in a workshop focused on the potential future journey for DES, highlighting three core areas for transformative change:
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- Improving the quality and completeness of cohort data
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- Enhancing the accuracy of cohort selection
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- Increasing confidence that individuals within the cohort are genuinely DES-eligible
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These concepts were presented through a system-agnostic flow and initial user journey, keeping the focus on solving the right problems rather than anchoring to specific technologies.
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The session provided invaluable feedback from Product and Program Leads, which was critical for refining and strengthening the proposed journey.
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![high level journey phases starting from diabetes diagnosis confirmed, screening cohort identified and other reports and participant invited and screened for diabetic retinopathy. User groups include: GP, participant, Data improvements user and DESPs (Diabetic Eye Screening Providers) as well as a row for supporting services, proposed changes and summary of three core areas for transformative change](des-desired-to-be-user-journey-blog-3.png "Desired To-Be User Journey")
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