Health Systems International recently piloted an enhanced online appointment solution with Norwegian Cruise Lines to help streamline and expedite the care of crew members once the ship reaches the next Port City. Once the ship medical officer determines a need for additional care to be delivered on shore, an appointment is entered via the Internet from the vessel. HSI is auto notified and appointment scheduling begins. As appointments are scheduled, data is submitted to the vessel via the same Internet interface notifying them of the time, date and location of appointment. Immediate notifications of changes are submitted in real time after updates are made and HSI takes the appropriate action to ensure appointments are modified or rescheduled as requested.