Database Design and Development, 101:

Database Design and Development is typically done in large corporations by several people with specialized skills:

Typically the server is set up and the operating system is installed by one group.  In the small to medium sized business world, this usually means installing Microsoft Small Business Server or Microsoft Server 2008 R2 Standard.  I can do this for you.

Typically a Data Base Analyst (DBA) installs the database, Microsoft SQL Server, Oracle or others.  I do this for you.

Typically a Data Modeler will design your tables.  I do this for you.

Typically a Developer writes the code for Stored Procedures, Triggers and Views.  I do this for you.

Typically a DBA finishes development by checking the performance and adding Keys on the tables to improve performance.  If necessary I do this for you.

Occasionally a specialized DBA will design and test backup procedures for your database.  I do this for you.

Occasionally performance degrades after months of adding data to the tables and more work will need to be done on the Keys or Stored Procedures.  Again, I do this for you.