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:

ROSA OMS Residential Aged Care Brief Reports:

ROSA OMS Home Care Brief Reports:

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.

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 Technical Specifications

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

For aged care providers and 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.

ROSA OMS Reports Request Form

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.

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.

SAHMRI: Prof Maria Inacio, Prof Gillian Caughey, Dr Tesfahun Eshetie, Catherine Lang, A/Prof Keith Evans, Olivia Ryan, Chin Tho Leong, Caitlin Wyman, Laura Young

Aged Care Industry Association (previous CEO): Luke Westenberg

Ageing Australia: Anita McStay

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

Australian Medical Association: Dr John Williams

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

Bolton Clarke: Dr Rajna Ogrin

Consumer and Community Representatives: Penelope Lello, Marilyn von Thien, Marjorie Schulze

Council on the Ageing (COTA) SA: Miranda Starke

Department for Health and Wellbeing SA: A/Prof Kate Swetenham

ECH Inc: Carolyn Dawkins

Flinders University / SA Health: A/Prof Craig Whitehead

Macquarie University: Prof Peter Hibbert

SA Innovation Hub / Kalyra: Sara Blunt, Simon Charlton

Silverchain: A/Prof Karen Smith

University of Adelaide / SA Health: Prof Renuka Visvanathan

University of Exeter: Dr Melinda Martin-Khan

University of South Australia: A/Prof Janet Sluggett

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SAHMRI is located on Kaurna Country. We pay respects to the Kaurna people of the Adelaide Plains and to all Aboriginal and Torres Strait Islander people. We are committed to embracing knowledge and culture as we continue our working journey to incorporate Aboriginal health research across all of our themes and further reconciliation.

"Tirki nguta tappa tangka marninithi"

(Learning and knowledge are the pathway to alter the mind)

- Uncle Lewis Yerloburka O’Brien, Kaurna Elder

Registry of Senior Australians (ROSA) Research Centre