Welcome to November!

The MIBAC clinical form has officially been discontinued, and new targets for 2026 VBR eligibility are in effect. Please visit resources > QI participation for VBR details, and direct your patients to the blue button at the top right of this page to access the patient-facing surveys!

MIBAC risk stratification training

Participating chiropractors can earn points toward 2026 VBR for attending a 30-minute virtual-live Risk Stratification training session, focusing on the STarT Back tool developed by Keele University and the Modified Treatment Plan (MTP) developed by a multi-disciplinary team of primary spine care clinicians. Registration is required. See the link below, or contact us at: support@mibaccqi.zohodesk.com for details.

VBR points available for successful completion of Risk stratification clinician training (active participation required*) and implementation of the Modified Treatment Plan based on STarT Back score (maximum of 30 points, 15 for training and 15 for implementation).  

  • Attends training* - earn 15 points

  • Implements risk stratification** with 10+ patients - earn 15 points

  • Implements risk stratification** with 5-9 patients - earn 10 points

*Active participation is defined as on-camera, visible and logged-in for 90% of meeting length, responds to direct questions, and responds to at least 2 live polls during meeting. This is a BCBSM requirement.

**attend a training session to learn the details of risk stratification implementation, including claiming your VBR points. Points for implementation are only available to legacy/continuing chiropractors who started participating prior to Fall 2024.

Sessions are offered every-other months (odd months) from November 2024 - September 2025. Must be completed in this period to earn 2026 VBR points.

The mission of the Michigan Back Collaborative is to:

Ensure patients with low back pain receive the best possible care.

The Goals of Michigan Back Collaborative Quality Initiative (MIBAC CQI) are to achieve the following:

Identify, refine and disseminate effective care patterns

Improve outcomes for patients seeking Chiropractic care for low back pain statewide: Optimize the value of spine care through diagnostic and treatment stewardship

Foster a collaborative and supportive environment for Chiropractors to promote professional satisfaction

To achieve the program goals, MIBAC is focusing on 3 strategic pillars.

  1. Quality Improvement

QI involves data collection focused on Patient-Reported Outcomes (PROs), data analysis, piloting potential best-practices, educating clinicians and patients, and incentivizing the utilization of evidence-based care.

2. Compelling Resources

Decision trees, focused videos presented by industry experts, patient-facing and clinician-facing flyers and reference sheets developed by subject-matter experts to support quick, evidence-based clinical decision-making.

3. Education & Training

Custom-built interactive training modules, designed by subject-matter experts in multiple disciplines, to educate on the most up-to-date and evidence-based information.

  • “The MIBAC collaboration has helped our clinic build relationships with local primary care physicians to help properly co-manage spine pain patients in an efficient manner in terms of triage, diagnosis and appropriate treatment.”

    -Joseph Lupo, DC, FSBT, FACMUAP, CFMB

  • “Our family has been in chiropractic practice for over 95 years. We feel the MIBAC training reinforced current practices and protocols in our office. We also feel that it gave us additional training in management of acute low back pain cases. The aspect of opening up collaboration and referrals with other healthcare professionals is also a great plus. When individuals, groups, and offices work together for the good of the patient’s needs, favorable and cost-effective outcomes can certainly be achieved. We are proud to be a part of the MIBAC initiative.”

    -Sally Blossom, DC, and Daniel Blossom, DC

  • “I went through the level 1 training and especially enjoyed the communication tips and the video for the back exam. I have used these tools to help educate my patients, and my patients have been very receptive to my recommendations.”

    -Emmanuel Dizon, MD

Join the MIBAC Chiropractor Directory!

Increase your visibility with local Primary Care Physicians and other specialists by joining our directory that shows you are committed to providing evidence-based care to improve the health of your patients. Information for the initial publication is no longer being accepted, however, we will be updating the directory quarterly, so submit your information today to be included next quarter!

Statement from Blue Cross Blue Shield of Michigan

Support for the Michigan Back Collaborative (MIBAC) CQI is provided by Blue Cross Blue Shield of Michigan (BCBSM) as part of the BCBSM Value Partnerships program. To learn more about Value Partnerships, visit www.valuepartnerships.com. The MIBAC Coordinating Center is housed at Henry Ford Health System. Although Blue Cross Blue Shield of Michigan and MIBAC work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.