
WHY TRAUMA SPEND
Built for Orthopedic Trauma. Not Generic Procurement.
A general spend audit checks whether a price matches a contract. Orthopedic trauma requires a review that understands constructs, procedures, and vendor behavior.
SPECIALIZATION
Where We Focus
Orthopedic Trauma
Trauma cases are unpredictable, urgent, and construct-driven. Purchasing decisions happen in the OR, not in a sourcing meeting.
Bill-Only Purchasing
Bill-Only is where price, quantity, and product detail are established after use—and where review most often gets skipped.
Implant Spend
Plates, screws, nails, and revision hardware carry pricing structures that vary by vendor, tier, and construct.
Vendor Contracts
Tiers, capitated constructs, effective dates, free goods, and rebates all change what a line item should cost.
SKU-Level Analysis
Discrepancies live at the catalog-number level. Category-level review rarely surfaces them.
Procedure-Level Utilization
Expected implant patterns for a given procedure make unusual quantities and substitutions visible.
Financial Leakage
Small, repeated variances across many cases accumulate into material annual spend.
COMPARISON
Two Very Different Kinds of Audit
GENERAL PROCUREMENT AUDIT
Broad category coverage, shallow product context
Price-to-contract matching only
Typically post-payment
Little visibility into procedure or construct logic
Vendor patterns rarely tracked over time
TRAUMA SPEND
Orthopedic trauma specialization end to end
Contract, item, quantity, and classification review
Pre-PO, before the hospital commits
Procedure and construct logic applied to every case
Vendor exception and resolution performance tracked

