Integrated System Health Management (ISHM) capability for rocket propulsion testing is rapidly evolving and promises substantial reduction in time and cost of propulsion systems development, with substantially reduced operational costs and evolutionary improvements in launch system operational robustness. NASA Stennis Space Center (SSC), along with partners that includes NASA, contractor, and academia; is investigating and developing technologies to enable ISHM capability in SSC's rocket engine test stands (RETS). This will enable validation and experience capture over a broad range of rocket propulsion systems of varying complexity. This paper describes key components that constitute necessary ingredients to make possible implementation of credible ISHM capability in RETS, other NASA ground test and operations facilities, and ultimately spacecraft and space platforms and systems: (1) core technologies for ISHM, (2) RETS as ISHM testbeds, and (3) RETS systems models.