News & Events

Michigan Spine Surgery Improvement Collaborative

To improve quality of care of spine surgery by reducing surgical complications, improve patient functional outcomes, reduce costs and episodes of care, and reduce the need for repeat surgeries



Reduction of lumbar surgical site infection


Reduction of hospital readmissions within 90 days of discharge​


Reduction of urinary retention


Improvement in ambulation within 8 hours of spine surgery


Improvement in 1-2 level lumbar decompressions discharged on >225 MME


Improvement in 1-2 level anterior cervical discharged on < 225 MME


  • More than 27000 patients ambulated within 8 hours that previously would not have since 2020​
  • Development and implementation of Enhanced Recovery After Surgery for spine patients at all MSSIC sites​
  • Reducing urinary retention, surgical site infections, and readmissions​
  • Promoting ambulation within 8 hours of surgery to reduce complications, improve outcomes, and shorten hospital stays​
  • Improving patient-reported outcomes such as satisfaction, functional status, pain, and return to work​
  • Reduction of ED visits within 90 days after spine surgery​
  • Reduction of opioids prescribed at discharge for opioid naïve patients​