The MEDITECH EMR application can experience 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.

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. 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.