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 Performance Rate Descriptions: Rate 1: Documentation of a standardized tool to assess sleep quality and a document care of plan (e.g. Pittsburgh Sleep Quality Index (PSQI), the Insomnia Severity Index (ISI)) Rate 2: Patient demonstrated 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