SQL Server Performance Engineering for a National Aged Care Provider
Diagnosed and resolved critical database bottlenecks affecting quality reporting, benchmark aggregation, and resident management across 40+ sites.
The Challenge
A national aged care organisation experienced severe SQL Server performance degradation during monthly quality indicator reporting and benchmark aggregation cycles. Blocking queries, outdated indexing strategies, and poorly optimised stored procedures caused reporting jobs to exceed SLA windows—impacting NQIP submission deadlines across 40+ facilities processing millions of daily records.
Our Approach
Our SQL Server consulting team conducted a full performance baseline, analysed wait statistics and execution plans, redesigned indexing strategies for high-volume reporting and aggregation tables, and refactored critical stored procedures. We implemented Query Store monitoring and established ongoing performance governance practices tailored to cyclical NQIP and benchmark reporting peaks.
Outcomes
- 85% reduction in peak reporting job duration during monthly collection cycles
- Eliminated blocking incidents during NQIP and benchmark aggregation windows
- Improved submission reliability across all 40+ sites
- Established a performance monitoring framework for proactive capacity management
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