Healthcare providers are confronted with numerous challenges in their enterprise integration environments. The proliferation of specialized departmental applications, increasing pressure to derive additional business value from the data moving through the system, and the ability to effectively communicate over legacy protocols such as MLLP and SFTP are forcing the adoption of tools and techniques that support rapid development in order to satisfy business needs. In this session, we'll discuss the implementation of Red Hat JBoss Fuse in several healthcare provider enterprises. We'll describe the solution for each implementation, including the challenges faced. Challenges include configuration and release management, scalable FIFO message processing, dynamic deployment that were addressed using tools and features such as Fabric8, Camel-SCR, and OSGi Blueprint. We’ll conclude by covering some of the lessons learned during the implementations, which will include topics such as Maven project structure, Git repository organization, and configuration management of the run-time environment.