Background Articles

The Michigan Back Collaborative is the newest addition to the very successful set of statewide quality improvement collaboratives supported by Blue Cross Blue Shield of Michigan. The collaborative quality improvement model (CQI) has been in place since the late 1990s, and has its roots in the Northern New England Cardiovascular Disease Study Group that started its work in the 1970s. The CQI model has a number of unique features that will be embodied in MIBAC as MIBAC gets established and matures. The background readings here provide more information on the CQI model and also some key information on diagnosis and treatment issues in low back pain.


“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

“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. .”



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