This presentation provides methods for maintaining Level 3 CMMI performance for projects with multiple life-cycles that include software, hardware, waterfall and Scrum development. These methods were successfully implemented on a complex Telemedicine project. Methods include: 1. Leveraging and augmenting existing SCRUM framework processes 2. Using automation and other strategies to fill in CMMI process gaps without over-burdening the development team 3. Adapting standard SCRUM metrics to meet earned value requirements 4. Meeting stakeholder expectations in a traditional waterfall life-cycle environment involving hardware and software deliveries.