Back pain and injury is at epidemic levels in the general population as well as for nurses and nurses aides. Over the last three years WISER Associate Director John O'Donnell has led development of a simulation program to address this critical issue. The original pilot project was conducted at the UPMC Institute for Rehabilitation and Research and demonstrated significant improvements in patient transfer knowledge and skill. These promising pilot results led to a larger pilot program to test the protocols and outcomes in a total hospital environment - this became the MyHealth We've Got your Back Program. This project was supported by the Beckwith Institute, the Center for Quality Improvement and Innovation, WISER, the UPMC Health Plan, the Centers for Rehab Services (CRS) and UPMC McKeesport, the initial hospital test organization.