Eliminate Downtime Risks and Double MEDITECH Performance

More hospitals use MEDITECH-approved Condusiv I/O reduction software than any other software to remediate the File Attribute List (FAL) growth issue, prevent file fragmentation from occurring, and boost electronic health record performance.

The MEDITECH EMR application can experience extensive fragmentation that lends itself to two problems (1) Sluggish EMR performance (2) risk of application failure or critical downtime as soon as the FAL reaches its size limit, a Windows File system limitation. As such, MEDITECH requires users to have a fragmentation remediation plan.

MEDITECH Overview

MEDITECH’s Defragmentation Requirement

MEDITECH requires defragmentation for all 5x and 6x customers. MEDITECH endorses V-locity for this process for “…their ability to reduce disk fragmentation and eliminate File Attribute List (FAL) saturation. Because of their design and feature set, we have also observed they accelerate application performance in a measurable way,” said Mike Belkner, Associate VP, Technology, MEDITECH

Not Just a “Defrag”

Condusiv’s fragmentation prevention and DRAM caching software contains an additional engine called “MediWrite™” that optimizes behavior specific to the MEDITECH platform. MediWrite monitors files for extreme cases of NTFS file fragmentation that could severely impact server and storage performance once the FAL reaches its maximum size limit and causes unnecessary downtime to resolve. MediWrite takes special action on these files to mitigate the problem and, more importantly, proactively prevents extreme cases of fragmentation from occurring in the first place.

The Only Solution

MediWrite is unique from all other defragmenters in handling the FAL fragmentation. Because of restrictions in the Windows file system, all other defragmenters can actually make the FAL size grow when they defragment a file. Condusiv’s MediWrite technology can defragment without growing the FAL size, the only defragmenter to do this and why we are the recommended solution.

Condusiv’s MediWrite feature is in both V-locity (for virtual servers) and Diskeeper Server (for physical servers) and is the only technology that should be used since it can defragment the FAL without causing FAL size growth – an industry first.

By resolving any existing fragmentation and preventing any new fragmentation from occurring in real-time, performance penalties and downtime risks are resolved. MediWrite also has the option to automatically alert users when a FAL size issue is detected, so it can be resolved immediately.

MEDITECH Speaks Out on Fragmentation and Condusiv Software

Condusiv’s MediWrite feature is in both V-locity (for virtual servers) and Diskeeper Server (for physical servers) and is the only technology that should be used since it can defragment the FAL without causing FAL size growth – an industry first. Moreover, by resolving any existing fragmentation and preventing any new fragmentation from occurring in real-time, performance penalties and downtime risks are resolved. MediWrite also has the option to automatically alert users when a FAL size issue is detected, so it can be resolved immediately.

Important Benefits

With Condusiv software, MEDITECH customers get two really important benefits – first, they avoid downtime; second, they boost application performance because instead of getting a bunch of small, tiny, random writes and reads, they’re getting nice, clean contiguous writes that deliver more payload with every I/O operation.

New Enhancements to Reduce Downtime and Improve Application Performance:
  • New Free Space Consolidation engine quickly, easily and automatically eliminates the massive amounts of free space fragmentation that can occur on MEDITECH systems due to millions of temporary files that get created and deleted. The new Free Space Engine helps to prevent data fragmentation that causes the FAL issue.
  • Advanced File Attribute List (FAL) defragmentation that dynamically detects FAL size issues and uses more aggressive defragmentation methods when needed to keep FAL levels under control. Downtime risk from FAL growth is eliminated.
  • Fine-tuned optimization methods create more efficient use of unused/available system resources.
From our Customers


CHRISTUS Health Doubles Electronic Health Record Performance

“Facing a $2 million storage purchase to solve our performance issues didn’t sit well with any of us. We heard what V-locity I/O reduction software had done to help other MEDITECH hospitals, so we were eager to try it for ourselves. After deploying V-locity and conducting a before/after performance analysis, we found that V-locity doubled the speed of our patient records. V-locity provided enough speed to meet our application SLAs, so there was no longer a need to make a $2 million storage purchase for increased performance.” Tom Swearingen, Infrastructure Services

Read the Case Study

Community Medical Center (CMC) Speeds EHR and SQL Applications

“Regarding cost savings, the value we receive from V-locity in not having to worry about our MEDITECH systems crashing due to FAL growth is invaluable. It doesn’t take long for downtime to accumulate into hundreds of thousands in lost revenue. However, the real surprise was the performance gains on our heaviest workloads.

“There’s no way we would have achieved a 5 year lifecycle on our storage system without V-locity offloading so much I/O traffic from that subsystem. We had no idea how many I/O operations from virtual server to storage were essentially wasted activity due to Windows write inefficiencies chewing up IOPS or hot data that is more effectively served from available DRAM.” Joe Buckminster, IT Director

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Hancock Regional Hospital Deploys V-locity for MEDITECH on Virtual Servers to Solve Critical Performance Issues

“I started looking at the SAN, then heard about the problem of excessive split I/Os generated by the Windows® OS, which is magnified in I/O intensive applications like MEDITECH. I was coming in early every month to reboot everything, just to gain more speed during end-of-month reporting. This isn’t a workable long-term solution, particularly for our users, who were experiencing the worst of it.

“Compiling a list of 16 patients took 13 seconds. With V-locity it now takes only five seconds to load 19. That’s a major improvement when you’re talking about a busy day in the ER.

“Across all 60 servers, we’re seeing an average increase in IOPS of 225% and response time improvement of 67%.” Ryan Barker, Technology Specialist

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Finding The Right Solution

We provide solutions for over 90% of fortune 500 companies and are dedicated to finding the right solution for your company, too.

What People are Saying

Slide “Typically, IT professionals respond to application performance issues by reactively buying more hardware. Without the luxury of a padded budget, we needed to find a way to improve performance on the hardware infrastructure we already have. It saved us from having to make a heavy investment in SSDs or do a complete rip and replace of our entire hardware infrastructure. To this day, I still can’t believe software is doing this.” R. Ortiz, IT Manager, ASL Marketing Slide “I have been using Diskeeper for many years, it is installed as a routine on all servers, networked clients, SHO and any other computer. It has never presented any problem and has always demonstrated improved drive performance in both servers and clients. With each new release Condusiv does not merely provide "window dressing", they actually improve the product with the objective of making it easier to use, more reliable, more effective and easier to use."
Mark Sills, Systems Administrator / Manager, Home User
Slide “I have used Diskeeper since it was first introduced. It has always worked well in keeping my drive defragged for the fastest response times for all of my apps. Thank you again for this fine piece of software.” Philip Baldwin, NVQB Slide “The Undelete software that we use on all our Regional Servers is undoubtedly worth every penny. It has saved our Techs numerous hours in restoring files inadvertently deleted as opposed to having to restore from backup tape.” Michael Lucas, Gancom (Division of Gannet Fleming) Slide “Undelete saves backup restores when someone accidentally deletes a file from a Windows share. We store tapes off site so Undelete can save a big delay for file restores of that type. Undelete does what it says on the box – really - and it works nicely as a network recycle bin.” Glenn Edwards, Infrastructure Analyst, Itron

What People are Saying

“Typically, IT professionals respond to application performance issues by reactively buying more hardware. Without the luxury of a padded budget, we needed to find a way to improve performance on the hardware infrastructure we already have. It saved us from having to make a heavy investment in SSDs or do a complete rip and replace of our entire hardware infrastructure. To this day, I still can’t believe software is doing this.”
R. Ortiz, IT Manager, ASL Marketing

“I have used Diskeeper since it was first introduced. It has always worked well in keeping my drive defragged for the fastest response times for all of my apps. Thank you again for this fine piece of software.”
Philip Baldwin, NVQB

“The Undelete software that we use on all our Regional Servers is undoubtedly worth every penny. It
has saved our Techs numerous hours in restoring files inadvertently deleted as opposed to having to
restore from backup tape.”
Michael Lucas, Gancom (Division of Gannet Fleming)

“Undelete saves backup restores when someone accidentally deletes a file from a Windows share. We store tapes off site so Undelete can save a big delay for file restores of that type. Undelete does what it says on the box – really – and it works nicely as a network recycle bin.”
Glenn Edwards, Infrastructure Analyst, Itron

“I have been using Diskeeper for many years, it is installed as a routine on all servers, networked clients, SHO and any other computer. It has never presented any problem and has always demonstrated improved drive performance in both servers and clients. With each new release Condusiv does not merely provide “window dressing”, they actually improve the product with the objective of making it easier to use, more reliable, more effective and easier to use.”
Mark Sills, Systems Administrator / Manager, Home User