This query generates new indexing options that can improve CAREWare performance. After running the query, copy the results from the second column, paste them in a new query window, and execute those options on the cw_data database.

SELECT
  migs.avg_total_user_cost * (migs.avg_user_impact / 100.0) * (migs.user_seeks + migs.user_scans) AS improvement_measure,
  'CREATE INDEX [missing_index_' + CONVERT (varchar, mig.index_group_handle) + '_' + CONVERT (varchar, mid.index_handle)
  + '_' + LEFT (PARSENAME(mid.statement, 1), 32) + ']'
  + ' ON ' + mid.statement
  + ' (' + ISNULL (mid.equality_columns,'')
    + CASE WHEN mid.equality_columns IS NOT NULL AND mid.inequality_columns IS NOT NULL THEN ',' ELSE '' END
    + ISNULL (mid.inequality_columns, '')
  + ')'
  + ISNULL (' INCLUDE (' + mid.included_columns + ')', '') AS create_index_statement,
  migs.*, mid.database_id, mid.[object_id]
FROM sys.dm_db_missing_index_groups mig
INNER JOIN sys.dm_db_missing_index_group_stats migs ON migs.group_handle = mig.index_group_handle
INNER JOIN sys.dm_db_missing_index_details mid ON mig.index_handle = mid.index_handle
WHERE migs.avg_total_user_cost * (migs.avg_user_impact / 100.0) * (migs.user_seeks + migs.user_scans) > 10
ORDER BY migs.avg_total_user_cost * migs.avg_user_impact * (migs.user_seeks + migs.user_scans) DESC