Inclusion Criteria for patients:  New and established patients seeking care at Michigan Medicine rheumatology clinics Patients should have access to the patient portal in MiChart patient portal Patients should have access to the internet at home to be able to complete the PROMIS PRO measures and study surveys online Patients should have completed PROMIS pain, physical function, and sleep disturbance measures at least one day before their baseline appointment At least one of the PROMIS PRO scores should be in the concerning zone (pain intensity ≥ 5, physical function ≤ 40, or sleep disturbance ≥ 60).  Exclusion Criteria:  Non-English speakers under 18 years of age  Inclusion Criteria for providers:  Rheumatology health care providers, including clinicians and advanced practice providers at Michigan Medicine who are currently treating rheumatology patients  Exclusion Criteria:  Those not meeting the inclusion criteria