Low back pain is a one of the most prevalent conditions globally. Despite the fact that 8 out of 10 people will experience low back pain in their lifetime, there is limited information available that clearly identifies what actions result in the best patient outcomes, the quickest return to function, and the lowest cost to the healthcare system. The Michigan Back Collaborative is not performing research. However, we strive to analyze patient and clinician data elements to identify possible first-visit interventions that show the most promise. Then, those interventions will be piloted with a group of first-contact clinicians to determine if outcomes improve following their implementation. In October of 2022, we began collecting patient information into the first all-payer registry (utilizing PatientIQ) for patients with acute back pain in Michigan. As the registry builds, our team is anxiously awaiting the day when we have sufficient data to analyze the registry for correlations. between data elements (e.g., clinician's recommendations, patient's activity level before the onset of back pain, utilization of a risk stratification tool modeled from the evidence-based STarT Back tool) and patient outcomes utilizing the evidence-based Patient Reported Outcome (PRO) tool, the PROMIS PI. In the meantime, we are utilizing the information we do have to develop clinician and patient resources based on existing evidence and research. We can't wait to see where the data will lead us.