Percentage of patients 18 years and older who reported sleep quality concerns (e.g., insomnia) with documentation of a standardized tool AND demonstrated a response to treatment at three months (+/- 60 days) after index visit Rate 1: Patients who reported sleep concerns (e.g., insomnia, hypersomnia), with a documented standardized tool to assess sleep quality and a documented care plan (e.g., Pittsburg Sleep Quality Index (PSQI), and the Insomnia Severity Index (ISI). Rate 2: Patients with an Insomnia Severity Index (ISI) that is reduced by 25% or greater from the index Insomnia Severity Index (ISI) score, three months (+/- 60 days) after index date.