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 2 +/-1 month following initial assessment and therapy(-ies) for treatment of spine-related pain symptoms with an improvement in the pain status from the baseline and documentation of follow-up plan. This measure will be calculated using two performance rates. Two rates can be reported for baseline and follow-up: Rate 1: Patient population with Follow-up/Patient population with baseline Rate 2: Patient population with improvement in the pain status from the baseline