Michigan Back Collaborative (MIBAC) is a statewide quality improvement collaborative initially focused on better care for low back pain by “first-contact” clinicians – primary care physicians and chiropractors. It is one of the newest in the set of statewide collaborative quality improvement programs supported by Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN).

More effective care patterns

Better outcomes for patients

Greater satisfaction for clinicians and patients

MIBAC Overview

Low back pain can be frustrating for both patients and clinicians. There is often no single cause for the pain that can be “fixed” with one simple approach to treatment. There can be unnecessary imaging studies and referrals, use of unproven therapies, over-use of opioids, and dissatisfied patients who never do get effective relief of pain.

There will be two components of MIBAC. The training component of MIBAC is on-line (or in-person when feasible), offered initially for primary care physicians and chiropractors – 90 minutes for PCPs, 100-minutes or a recommended twelve hours for chiropractors. The training offers a framework for treating low back pain, a set of treatment protocols to follow, and valuable takeaway “pearls” that will help you in managing your patients with acute low back pain.

Quality Improvement involves an Patient Reported Outcomes (PROs) utilizing a smartphone based platform (PatientIQ) that will be initiated by the first-contact provider, plus the entry of clinical and demographic patient information into our registry.

iThe data contributed during the Quality Improvement component allows the collaborative to review and analyze data from the registry to identify “best practices” and opportunities for improvement. Furthermore, it enables us to work together on both state-wide and locally-focused quality improvement initiatives as a group.

MIBAC will involve physician organizations and individual BCBSM contracted chiropractors from throughout the state.

The Coordinating Center will be based at Henry Ford Health in Detroit, supported by Blue Cross Blue Shield of Michigan (BCBSM) and Blue Care Network (BCN) as part of the Value Partnerships program. Although Blue Cross Blue Shield of Michigan and MIBAC work collaboratively, the opinions, beliefs, and viewpoints expressed by the author do not necessarily represent the views of BCBSM or any of its employees. The training modules are being provided by Spine Care Partners, a group with extensive experience in successful provider training in several other states, and the user-friendly Patient Reported Outcome (PRO) platform with built-in analytics will be provided by PatientIQ.

2021 Achievements

Physician Organizations (POs) Engaged

first-contact providers trained

active champion groups formed from both POs and independent providers

Primary Care Physicians (PCPs) and Chiropractors (DCs) within our two champion groups consisting of highly respected first-contact providers

Testimonials

“I thought the training was excellent. It strongly reinforced what we already know - that conservative management of low back pain leads to better results, lower cost, and helps patients learn how to self-manage this often chronic recurring problem.”

David Parker, MD

“I am thrilled to be involved in MIBAC because it helps to align the values of excellent patient care with provider decision and reimbursement. It’s an opportunity for providers to control their own destiny by advocating for their patient’s interests.”

James Leonard, DC

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