Percentage of patients aged 18 years and older with documentation of a pain assessment through discussion with the patient including the use of a standardized back or neck pain tool(s) AND/OR leg or arm pain tool(s) at baseline and 3 months following initial assessment and intervention(s) for treatment of spine-related pain symptoms with at least 10% improvement in the pain status from the baseline and documentation of follow-up plan. This measure will be calculated with 2 performance rates: Rate 1: Patient population with Follow-up/Patient population with baseline Rate 2: Patient population with improvement in pain status after Follow-up/Patient population with Follow-up. Overall Rate = Rate 2