Frequently Asked Questions

What is Spine IQ?

The Spine Institute for Quality™ (Spine IQ™) is a private, not-for-profit organization with the mission to increase the patient-centered value of spine care by leveraging multi-disciplinary models, measures, education and research through the use of a clinical data registry.

Our vision

Spine IQ uses an evidence-based approach to identify clinicians with demonstrated best practices in conservative spine care management.

Our mission

Define quality, demonstrate value, and build trust in spine care delivery.


  • Clinical Data Registries: Establish clinical data registries that capture spinal care outcomes measures and enable spine care practitioners to benchmark the quality of care they provide.
  • The Primary Spine Practitioner (PSP) Model: Improve quality and enhance the value proposition of spine care through the use of a primary spine care practitioner.
  • Spine Care Quality Recognition Program: Develop a new spine care quality recognition program that enables high-performance providers’ expertise to be recognized in the marketplace.
  • Practitioner Education: Improve the quality of spine care delivery by increasing practitioner understanding and participation in relevant local and national quality initiatives. Spine IQ also serves as a conduit to evidence-based training materials that can assist practitioners in meeting performance measurement benchmarks and/or standards.
  • Spine Care Research: Conduct rigorous research using pragmatic study designs that answer policy-relevant questions about spine care delivery in the real world.

Why was Spine IQ developed?

Spine IQ was developed to transform spine care by promoting conservative management of spine-related disorders. This is critical given the overwhelming public health significance of musculoskeletal or spine-related disorders and increasing concern that current widely used interventions may be ineffective and/or carry unacceptable levels of risk.

Who is eligible to join the Spine IQ registry?

Spine IQ is a multidisciplinary endeavor and is open to all state-licensed or certified health care professionals who assess and manage spine pain.

Why should I join the Spine IQ registry?

There are lots of reasons to become a member of the Spine IQ clinical registry.

  • Track outcomes, such as change in pain intensity and pain interference across your entire patient population.
  • Improve patient follow-up by using data to identify patients who are not meeting performance benchmarks.
  • Demonstrate the value of your practice to patients, payers and other stakeholders by benchmarking yourself on 28 performance measures.
  • Meet Centers for Medicare and Medicaid Services (CMS) regulatory requirements for MIPS.
  • Contribute real patient data towards research efforts that can answer important questions about spine care best practices and performance-based payment systems.

How much does it cost to join the registry?

Annual membership to the Qualified Clinical Data Registry is $499.

Once launched, annual membership to the SpineIQAir Clinical Data Registry Health Registry is $300.

How do I join the Spine IQ registry?

You can join the registry by filling out this online form.

What Spine IQ registries exist? Are there other registries in development?

Spine IQ has developed one clinical data registry. Additional registries are in development.

What data will the Spine IQ registry collect?

The registry includes a total of 28 performance measures. These include three custom measures focused on patient-reported pain intensity, patient-reported pain interference and repeated x-ray use.

You can review the 28 measures here.

How does my patient data get entered into the registry?

Spine IQ works with electronic health record (EHR) vendors to automate registry data collection. EHR interoperability provides rapidly obtainable performance data from a larger patient population, making the integrated feedback component that allows providers to compare their performance to regional and national comparators much more robust. Providers also have the ability to enter data directly into the registry.

How will the Spine IQ registry data be used?

Practitioners will be able to use registry data to participate in quality payment programs, such as the CMS MIPS Program and the BCBSKS Quality Payment Program.

Other applications

  • Providers will be able to use registry data to benchmark themselves against their peers on specific quality measures.
  • Scientists will be able to use de-identified data to answer important questions about the quality and outcomes of spine care delivery.
  • Payers and purchasers will be able to use the registry to identify practitioners who are committed to quality care and meet performance benchmarks.

Who manages the Spine IQ registry?

The SpineIQAir Clinical Data Registry was designed in collaboration with Premier Healthcare Solutions, Inc., a leading provider of cloud-based quality reporting, performance improvement and lifelong learning platforms. Its software enables the opportunity for interoperability with electronic health records (EHRs) and website platforms, as well as self-service data entry via online forms and upload tools.

Will I receive training so I know how to use the Spine IQ registry?

To learn how to use the registry, please refer to our User Guide.

If additional technical support is required, please contact Premier’s MedConcert support staff at

How much time will I have to invest to be involved in the Spine IQ registry?

Your time commitments will be based on your method of data input. The platform is available at any time to review performance and educational resources. The performance monitor data needs to be updated at least once per month, but can be updated daily, if desired.

Does my EHR system share information with the Spine IQ registry or do I have to double enter information?

Your EHR system may share information with the Spine IQ clinical data registry. For additional information on integrated EHR systems, please contact your EHR account manager or Spine IQ support staff at

Will I be able to run my own reports in addition to the reports the Spine IQ registry sends me?

Performance and clinical data feedback is available to participants at all times via the MedConcert platform through Spine IQ. Providers are able to view performance results that are updated nightly, and view/edit received patient encounter data.

How will the Spine IQ registry use patient data for research?

Registry data will provide a unique opportunity to develop data-driven spine care delivery pathways, identify those patients most likely to respond to treatment protocols and comparison of patient-centered outcomes and cost among and across professions.

Premier’s MedConcert platform is secure, HIPAA-compliant, and utilized by many leading health organizations today.

Is my patients’ health information and data safe in the Spine IQ registry?

Yes. Premier’s MedConcert platform is secure, HIPAA-compliant, and utilized by many leading health organizations today.

Who do I contact about questions or issues with my username and/or password?

Any username or password issues may be resolved by using the “forgot password” link on the login page.

What determines the numerators and denominators in the performance measures?

Denominator: The denominator represents the total patients or visits that met the base eligibility criteria for the measure.

Numerator: The numerator represents the subset of the total patients or visits where the quality action was completed or documented.

What is the difference between denominator exclusions and denominator exceptions?

A denominator exclusion is defined as: the mechanism used to exclude patients from the denominator of a performance measure when a therapy or service would not be appropriate in instances for which the patient otherwise meets the denominator criteria.

A denominator exception is defined as: an allowable reason for nonperformance of a quality measure for patients that meet the denominator criteria and do not meet the numerator criteria. Denominator exceptions are the valid reasons for patients who are included in the denominator population but for whom a process or outcome of care does not occur.

Why does the speed of the website vary when I’m loading performance reports?

The speed for the data to load through the performance tab depends on the amount of data entered into the registry and the number of measures that you have selected for the registry. The performance monitor processes data against the account’s measures selection according to the specifications of those measures.

What is continuous registry reporting and what does that mean for my practice?

A SpineIQAir Clinical Data Registry provides a way to continuously enter data into the registry. This registry will calculate and display each measure and quality score in the performance monitor (as frequently as daily). Additionally, the registry may generate performance measure gaps, lists of patient outliers, and link to interventions and improvement tools. Continuous performance measurement will help your practice monitor performance scores over time and provide benchmarking and gap analysis tools for improvement while satisfying annual requirements.

What is an inverse measure?

An inverse measure is a measure for which lower performance rates indicate better performance.