People with insomnia experience difficulty falling asleep (sleep latency), wake throughout the night (sleep maintenance), or wake up earlier than desired (wake after sleep onset deficiency). They do not sleep effectively, experience daytime fatigue, develop mood disorders, decrease their work efficiency, and increase their risk of physical harm due to reduced attention and concentration skills. Cognitive-behavioral therapy for insomnia (CBT-I) provides gold-standard treatment for patients who have insomnia. The purpose of this quality improvement project is to develop a sustainable process for screening adult patients at their primary medical home via the validated insomnia severity index (ISI) tool.