ROSA Outcome Monitoring System (OMS)

What is the ROSA OMS?

The ROSA OMS is a quality and safety monitoring and benchmarking system designed to promote quality improvement, transparency, and accountability for the aged care sector.

The ROSA OMS is a pragmatic and low burden tool for aged care providers and residents, using existing integrated data from national and state-based aged care and health care datasets.

The ROSA OMS reports on twelve quality and safety indicators for residential aged care and fifteen for home care package services.

You can access the summary reports for South Australia here:

Development of the ROSA OMS

The indicators included in the ROSA OMS were selected after a review of international literature and consultation with the ROSA OMS Advisory Committee. Indicators were selected if they were:

-Implemented internationally, or

-Recommended for monitoring in aged care populations, or

-Associated with poor outcomes and increased risk of harms, and

-Feasible to be examined using ROSA.

For more information on the ROSA OMS development see:

[1] Inacio M, et al. The Registry of Senior Australians (ROSA) Outcome Monitoring System: Quality and Safety Indicators for Aged Care. International Journal of Quality in Health Care. October 2020, 32(8):502-510.

[2] Caughey G, et al. Quality and safety indicators for home care recipients in Australia: development and cross-sectional analyses. BMJ Open. August 2022,12:e063152.

The ROSA OMS indicators

Click below to view a copy of the indicators Technical Specifications.

ROSA OMS indicator Residential Aged Care Home Care Package Services
Antipsychotic use ✔ ✔
Chronic opioid use ✔ ✔
High sedative load ✔ ✔
Antibiotic use ✔ ✔
Fall-related hospitalisation ✔ ✔
Fractures ✔ ✔
Premature mortality ✔ ✔
Medication-related hospitalisation ✔ ✔
Weight loss or malnutrition-related hospitalisation ✔ ✔
Delirium or dementia-related hospitalisations ✔ ✔
Emergency department presentations ✔ ✔
Pressure injury-related hospitalisation ✔ ✔
Chronic disease management plan ✖ ✔
Home medicines review ✖ ✔
Wait time for home care packages ✖ ✔

For aged care providers & staff:

How can the ROSA OMS be used?

Individual residential aged care and home care ROSA OMS reports are available to South Australian providers at the provider, facility or service level. We hope these reports facilitate the evaluation of care delivery and inform quality improvement activities, through provision of risk adjusted (i.e., that account for differences between facilities) measures of quality and safety, and benchmarking.

How can I request a copy of the ROSA OMS?
If you are a South Australian provider, you can receive an individualised report tailored to your facility or service. This report provides state and national benchmarks for comparison.

To request a copy of the ROSA OMS Residential Aged Care Facility and/or Home Care Provider Report, email the completed form to rosa.oms@sahmri.com:

Consultation
The ROSA team is offering consultation for providers to review their report. This can be scheduled by emailing the ROSA team at: rosa.oms@sahmri.com

For consumers, families, friends and the general public:

How can I view the ROSA OMS report?
The brief reports for South Australia are available below. For the providers reports, please ask the provider directly for a copy of it.

How often will the ROSA OMS reports be released?
These reports are planned to be released annually.

The inaugural ROSA OMS report for residential aged care was released in September 2022 and home care in late June 2023.

Who developed the ROSA OMS?

The ROSA OMS was developed by the ROSA Research Team and the ROSA OMS Advisory Committee, which includes aged care providers, peak bodies, clinicians and consumer representatives.

ROSA OMS Advisory Committee (past and current) members:

SAHMRI: Prof Steve Wesselingh, Prof Maria Inacio, Prof Gillian Caughey, Dr Tesfahun Eshetie, Catherine Lang, A/Prof Keith Evans, Dr Jyoti Khadka, Olivia Ryan

University of South Australia: Dr Janet Sluggett

Aged & Community Care Providers Association (ACCPA): Derek Dittrich, Anne Liddell

Flinders University / SA Health: A/Prof Craig Whitehead

University of Adelaide / SA Health: Prof Renuka Visvanathan

ECH Inc: Carolyn Dawkins, Dr Sally Tideman, Marleesa Ly

Australian Commission on Safety and Quality in Health Care / Silverchain: Dr Helena Williams

Council on the Ageing SA: Jane Mussared, Miranda Starke

SA Innovation Hub / Kalyra: Sara Blunt, Simon Charlton

Consumer and Community Representatives: Anna Sheppeard, Penelope Lello, Marilyn von Thien

Australian Medical Association: Dr Chris Moy

Leading Age Services Australia*: Marlene Eggert, Tim Hicks

Aged Care Industry Association: Luke Westenberg

Aged & Community Services Australia: Fiona Panizzon, Derek Dittrich

Australian Nursing and Midwifery Federation (SA Branch): Megan Corlis

City of Onkaparinga:  Dr Victoria Cornell

*NOW KNOWN AS THE AGED & COMMUNITY CARE PROVIDERS ASSOCIATION (ACCPA).

To contact us about the ROSA OMS please email rosa.oms@sahmri.com