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.

Clinician Spotlight

Dr. Dan Spencer is a passionate advocate for chiropractic care. He is our featured participant profile for August. For the full article, please see Events & Resources > Newsletters to view the August Newsletter.

When you think of serious, disabling health conditions, you probably don't think about back pain. However, back pain is a common condition that up to 80% of people in the U.S. will experience in their lifetime. In fact, it is the leading cause of disability globally.

Hoy D, et al. (2014). Retrieved from: https://ard.bmj.com/content/73/6/968.

Testimonials from MIBAC participants:

“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

“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.”


“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


Clinicians Participating in Quality Improvement

Physician Organizations Participating in Quality Improvement

Independent Chiropractors Participating in Quality Improvement

Contact Us

If you are a first-contact spine care provider, practice, or physician organization and would like more information about the program and how you can get involved, please contact us using the link below or email us at [email protected].


Michigan Back Collaborative
Henry Ford Health

Office of Clinical Quality & Safety

1 Ford Place

Detroit, Michigan 48202




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