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Treatment Cost Monitoring System

SMoKL – Treatment Cost Monitoring System


Scope of the Project



Objective of the Project

  • implementing the obligation expressed in the Act on the healthcare information system, i.e. development and administration of an ICT system aimed at processing data necessary to set healthcare service tariffs;
  • helping healthcare providers meet the statutory obligation to provide AOTMiT with the data necessary to set healthcare service tariffs by making public e-Services available;
  • making electronic public services available and improving business processes related to setting healthcare service tariffs;
  • developing a tool dedicated to improving communication with healthcare providers and experts, and enable the maximum possible automation of the data preparation and transfer process, as well as expert evaluation;
  • development of one data warehouse accessible to all substantive AOTMiT Departments without the need to develop and maintain separate databases used for tasks other than setting tariffs.


Project completion date

11.03.2023 with possible to extension on the basis of the provisions of the Act of 3 April 2020 on special solutions supporting the implementation of operational programmes in the 2020 COVID-19 outbreak.


Description of the Project

Given the importance and significance of the effects of works carried out in AOTMiT, it is essential to create tools which will not only allow for more effective and automated processing of the data received, conducting broader and wider analyses, as well as sharing knowledge and the information developed with other healthcare system stakeholders. The Treatment Cost Monitoring System is being created to address the needs of both employees and representatives of institutions cooperating with the Agency.

SMoKL has been designed in a way that enables AOTMiT to meet one of its statutory obligations, i.e. the development of a system processing medical data for the purpose of setting healthcare service tariffs, as well as support the healthcare providers in the fulfilment of their statutory obligation to provide the Agency with data – by launching e-services at a high level of maturity: e-Healthcare provider qualificatione-Data collection and verification, e-Expert services.

The project’s basic assumption primarily concerned tasks related to the setting of healthcare tariffs, but its scope was extended so that it could be used by all of the Agency’s departments for the purpose of carrying out statutory tasks. It will be possible through the creation of a single data warehouse which will collect all available data used in the Agency’s work that comes from healthcare providers, NHF, Chief Sanitary Inspectorate (GIS), Centre for Healthcare Information Systems (CSIOZ) or medical records. These data will be used to perform extensive cost, clinical, pharmacoeconomic, epidemiological, population and other analyses. The creation of this system, by standardising and automating many processes, will significantly improve the work of Agency units tasked with content management. In addition, it will allow for make sharing the developed information with the outside world and will contribute to increased efficiency of the healthcare system.


In early 2019, conceptual works began aimed at establishing the outline for the implementation of the Treatment Cost Monitoring System;they helped identify the need to both reorganise and systematise processes within the institution as well as to meet the expectations of healthcare providers obliged to provide data to AOTMiT. As a result, a decision was made to create a system based on public e-Services, using European funds which are available under the 2014-2020 Digital Poland Operational Programme: priority axis II “E-government and open government” within the 2.1 “High accessibility and quality of public e-services” measure.

The formal outline of the SMoKL project was completed on 17 April 2019 and the description of the IT Project Outline (OZPI) was completed on 18 June 2019. Seven days after the public presentation of the project, which took place on 9 July 2019, the Minister of Health provided a description of the IT Project Outline for the opinion of the Council of Ministers’ Committee for Digitisation (KRMC). In accordance with the adopted procedure, the OZPI was first assessed by the “IT Architecture Council” Task Team of the Ministry of Digitisation, which on 1 August 2019 issued a positive recommendation regarding the project in question. Then, on 6 August 2019, the project was submitted to inter-ministerial consultations, the positive outcome of which opened the way for the presentation of the project at the meeting of the Council of Ministers’ Committee for Digitisation (positive opinion of the KRMC), which directly preceded the positive opinion of the KRMC expressed in the letter of 23 August 2019. As a result of the positive opinions issued by the Ministry of Digitisation bodies, an application for co-financing was prepared and officially submitted on 2 September 2019. By 11 December 2019, it had been the subject of 1st and 2nd-stage formal assessment, which again resulted in the issuing of positive opinions. This process, which lasted several months, ended on 28 February 2020, when the Digital Poland Project Centre published a list of projects selected for funding, including the Treatment Cost Monitoring System.

The agreement on financial support in the amount of PLN 10,963,081.80 was signed on 27 March 2020, which initiated the project implementation stage. As part of these works, an initial concept of the system has been prepared and is currently the subject of technical discussions with potential contractors. The next stage will include the preparation of the final technical concept of SMoKL, on the basis of which a tender procedure dedicated to selecting the contractor who will create the system will be prepared – the signing the contract with the contractor is planned to take place in 4Q2020.