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Optimize your SQL environment with the SQL Server Health Check solution in Azure Monitor

SQL Health Check symbol

You can use the SQL Health Check solution to assess the risk and health of your server environments on a regular interval. This article will help you install the solution so that you can take corrective actions for potential problems.

This solution provides a prioritized list of recommendations specific to your deployed server infrastructure. The recommendations are categorized across six focus areas which help you quickly understand the risk and take corrective action.

The recommendations made are based on the knowledge and experience gained by Microsoft engineers from thousands of customer visits. Each recommendation provides guidance about why an issue might matter to you and how to implement the suggested changes.

You can choose focus areas that are most important to your organization and track your progress toward running a risk free and healthy environment.

After you've added the solution and an assessment is completed, summary information for focus areas is shown on the SQL Health Check dashboard for the infrastructure in your environment. The following sections describe how to use the information on the SQL Health Check dashboard, where you can view and then take recommended actions for your SQL Server infrastructure.

image of SQL Health Check tile

image of SQL Health Check dashboard


  • The SQL Health Check solution requires a supported version of .NET Framework 4.6.2 installed on each computer that has the Microsoft Monitoring Agent (MMA) installed. The MMA agent is used by System Center 2016 - Operations Manager and Operations Manager 2012 R2, and Azure Monitor.

  • The solution supports SQL Server version 2012, 2014, 2016, 2017, and 2019.

  • A Log Analytics workspace to add the SQL Health Check solution from the Azure marketplace in the Azure portal. In order to install the solution, you must be an administrator or contributor in the Azure subscription.


    After you've added the solution, the AdvisorAssessment.exe file is added to servers with agents. Configuration data is read and then sent to Azure Monitor in the cloud for processing. Logic is applied to the received data and the cloud service records the data.

To perform the health check against your SQL Server servers, they require an agent and connectivity to Azure Monitor using one of the following supported methods:

  1. Install the Microsoft Monitoring Agent (MMA) if the server is not already monitored by System Center 2016 - Operations Manager or Operations Manager 2012 R2.
  2. If it is monitored with System Center 2016 - Operations Manager or Operations Manager 2012 R2 and the management group is not integrated with Azure Monitor, the server can be multi-homed with Log Analytics to collect data and forward to the service and still be monitored by Operations Manager.
  3. Otherwise, if your Operations Manager management group is integrated with the service, you need to add the domain controllers for data collection by the service following the steps under add agent-managed computers after you enable the solution in your workspace.

The agent on your SQL Server which reports to an Operations Manager management group, collects data, forwards to its assigned management server, and then is sent directly from a management server to Azure Monitor. The data is not written to the Operations Manager databases.

If the SQL Server is monitored by Operations Manager, you need to configure an Operations Manager Run As account. See Operations Manager run-as accounts for Azure Monitor below for more information.

SQL Health Check data collection details

SQL Health Check collects data from the following sources using the agent that you have enabled:

  • Windows Management Instrumentation (WMI)
  • Registry
  • Performance counters
  • SQL Server dynamic management view results

Data is collected on the SQL Server and forwarded to Log Analytics every seven days.

Operations Manager run-as accounts for Log Analytics

Log Analytics uses the Operations Manager agent and management group to collect and send data to the Log Analytics service. Log Analytics builds upon management packs for workloads to provide value-add services. Each workload requires workload-specific privileges to run management packs in a different security context, such as a domain user account. You need to provide credential information by configuring an Operations Manager Run As account.

Use the following information to set the Operations Manager Run As account for SQL Health Check.

Set the Run As account for SQL Health Check

If you are already using the SQL Server management pack, you should use that Run As configuration.

To configure the SQL Run As account in the Operations console


By default workflows in the management pack runs in the security context of the Local System account. If you are using the Microsoft Monitoring Agent connected directly to the service rather than reporting directly to an Operations Manager management group, skip steps 1-5 below and run either the T-SQL or PowerShell sample, specifying NT AUTHORITY\SYSTEM as the user name.

  1. In Operations Manager, open the Operations console, and then click Administration.

  2. Under Run As Configuration, click Profiles, and open SQL Assessment Run As Profile.

  3. On the Run As Accounts page, click Add.

  4. Select a Windows Run As account that contains the credentials needed for SQL Server, or click New to create one.


    The Run As account type must be Windows. The Run As account must also be part of Local Administrators group on all Windows Servers hosting SQL Server Instances.

  5. Click Save.

  6. Modify and then execute the following T-SQL sample on each SQL Server instance to grant minimum permissions required for the Run As Account to perform the health check. However, you don’t need to do this if a Run As Account is already part of the sysadmin server role on SQL Server instances.

    -- Replace <UserName> with the actual user name being used as Run As Account.
    USE master

    -- Create login for the user, comment this line if login is already created.

    -- Grant permissions to user.

    -- Add database user for all the databases on SQL Server Instance, this is required for connecting to individual databases.
    -- NOTE: This command must be run anytime new databases are added to SQL Server instances.
    EXEC sp_msforeachdb N'USE [?]; CREATE USER [<UserName>] FOR LOGIN [<UserName>];'

To configure the SQL Run As account using Windows PowerShell

Open a PowerShell window and run the following script after you’ve updated it with your information:

    import-module OperationsManager
    New-SCOMManagementGroupConnection "<your management group name>"

    $profile = Get-SCOMRunAsProfile -DisplayName "SQL Assessment Run As Profile"
    $account = Get-SCOMrunAsAccount | Where-Object {$_.Name -eq "<your run as account name>"}
    Set-SCOMRunAsProfile -Action "Add" -Profile $Profile -Account $Account

Understanding how recommendations are prioritized

Every recommendation made is given a weighting value that identifies the relative importance of the recommendation. Only the ten most important recommendations are shown.

How weights are calculated

Weightings are aggregate values based on three key factors:

  • The probability that an issue identified will cause problems. A higher probability equates to a larger overall score for the recommendation.
  • The impact of the issue on your organization if it does cause a problem. A higher impact equates to a larger overall score for the recommendation.
  • The effort required to implement the recommendation. A higher effort equates to a smaller overall score for the recommendation.

The weighting for each recommendation is expressed as a percentage of the total score available for each focus area. For example, if a recommendation in the Security and Compliance focus area has a score of 5%, implementing that recommendation will increase your overall Security and Compliance score by 5%.

Focus areas

Security and Compliance - This focus area shows recommendations for potential security threats and breaches, corporate policies, and technical, legal and regulatory compliance requirements.

Availability and Business Continuity - This focus area shows recommendations for service availability, resiliency of your infrastructure, and business protection.

Performance and Scalability - This focus area shows recommendations to help your organization's IT infrastructure grow, ensure that your IT environment meets current performance requirements, and is able to respond to changing infrastructure needs.

Upgrade, Migration and Deployment - This focus area shows recommendations to help you upgrade, migrate, and deploy SQL Server to your existing infrastructure.

Operations and Monitoring - This focus area shows recommendations to help streamline your IT operations, implement preventative maintenance, and maximize performance.

Change and Configuration Management - This focus area shows recommendations to help protect day-to-day operations, ensure that changes don't negatively affect your infrastructure, establish change control procedures, and to track and audit system configurations.

Should you aim to score 100% in every focus area?

Not necessarily. The recommendations are based on the knowledge and experiences gained by Microsoft engineers across thousands of customer visits. However, no two server infrastructures are the same, and specific recommendations may be more or less relevant to you. For example, some security recommendations might be less relevant if your virtual machines are not exposed to the Internet. Some availability recommendations may be less relevant for services that provide low priority ad hoc data collection and reporting. Issues that are important to a mature business may be less important to a start-up. You may want to identify which focus areas are your priorities and then look at how your scores change over time.

Every recommendation includes guidance about why it is important. You should use this guidance to evaluate whether implementing the recommendation is appropriate for you, given the nature of your IT services and the business needs of your organization.

Use Health Check focus area recommendations

Before you can use an assessment solution in Azure Monitor, you must have the solution installed. After it is installed, you can view the summary of recommendations by using the SQL Health Check tile on the Overview page for Azure Monitor in the Azure portal.

View the summarized compliance assessments for your infrastructure and then drill-into recommendations.

To view recommendations for a focus area and take corrective action

  1. Sign in to the Azure portal at
  2. In the Azure portal, click More services found on the lower left-hand corner. In the list of resources, type Monitor. As you begin typing, the list filters based on your input. Select Monitor.
  3. In the Insights section of the menu, select More.
  4. On the Overview page, click the SQL Health Check tile.
  5. On the Health Check page, review the summary information in one of the focus area sections and then click one to view recommendations for that focus area.
  6. On any of the focus area pages, you can view the prioritized recommendations made for your environment. Click a recommendation under Affected Objects to view details about why the recommendation is made.

    image of SQL Health Check recommendations
  7. You can take corrective actions suggested in Suggested Actions. When the item has been addressed, later assessments will record that recommended actions were taken and your compliance score will increase. Corrected items appear as Passed Objects.

Ignore recommendations

If you have recommendations that you want to ignore, you can create a text file that Azure Monitor will use to prevent recommendations from appearing in your assessment results.

To identify recommendations that you will ignore

  1. In the Azure Monitor menu, click Logs.

  2. Use the following query to list recommendations that have failed for computers in your environment.

    SQLAssessmentRecommendation | where RecommendationResult == "Failed" | sort by Computer asc | project Computer, RecommendationId, Recommendation

    Here's a screenshot showing the log query:

    failed recommendations

  3. Choose recommendations that you want to ignore. You’ll use the values for RecommendationId in the next procedure.

To create and use an IgnoreRecommendations.txt text file

  1. Create a file named IgnoreRecommendations.txt.
  2. Paste or type each RecommendationId for each recommendation that you want Azure Monitor to ignore on a separate line and then save and close the file.
  3. Put the file in the following folder on each computer where you want Azure Monitor to ignore recommendations.
    • On computers with the Microsoft Monitoring Agent (connected directly or through Operations Manager) - SystemDrive:\Program Files\Microsoft Monitoring Agent\Agent
    • On the Operations Manager management server - SystemDrive:\Program Files\Microsoft System Center 2012 R2\Operations Manager\Server
    • On the Operations Manager 2016 management server - SystemDrive:\Program Files\Microsoft System Center 2016\Operations Manager\Server

To verify that recommendations are ignored

  1. After the next scheduled assessment runs, by default every 7 days, the specified recommendations are marked Ignored and will not appear on the assessment dashboard.

  2. You can use the following Log Search queries to list all the ignored recommendations.

    SQLAssessmentRecommendation | where RecommendationResult == "Ignored" | sort by Computer asc | project Computer, RecommendationId, Recommendation
  3. If you decide later that you want to see ignored recommendations, remove any IgnoreRecommendations.txt files, or you can remove RecommendationIDs from them.

Frequently asked questions

What checks are performed by the SQL Assessment solution?

  • The following query shows a description of all checks currently performed:
| distinct RecommendationId, FocusArea, ActionArea, Recommendation, Description
| sort by FocusArea,ActionArea, Recommendation

The results can then be exported to Excel for further review.

How often does a health check run?

  • The check runs every seven days.

Is there a way to configure how often the check runs?

  • Not at this time.

If another server is discovered after I’ve added the SQL Health Check solution, will it be checked?

  • Yes, once it is discovered it is checked from then on, every seven days.

If a server is decommissioned, when will it be removed from the health check?

  • If a server does not submit data for 3 weeks, it is removed.

What is the name of the process that does the data collection?

  • AdvisorAssessment.exe

How long does it take for data to be collected?

  • The actual data collection on the server takes about 1 hour. It may take longer on servers that have a large number of SQL instances or databases.

What type of data is collected?

  • The following types of data are collected:
    • WMI
    • Registry
    • Performance counters
    • SQL dynamic management views (DMV).

Is there a way to configure when data is collected?

  • Not at this time.

Why do I have to configure a Run As Account?

  • For SQL Server, a small number of SQL queries are run. In order for them to run, a Run As Account with VIEW SERVER STATE permissions to SQL must be used. In addition, in order to query WMI, local administrator credentials are required.

Why display only the top 10 recommendations?

  • Instead of giving you an exhaustive overwhelming list of tasks, we recommend that you focus on addressing the prioritized recommendations first. After you address them, additional recommendations will become available. If you prefer to see the detailed list, you can view all recommendations using the Log Analytics log search.

Is there a way to ignore a recommendation?

Next steps

  • Log queries to learn how to analyze detailed SQL Health Check data and recommendations.