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STREAMLINE HEALTH ANNOUNCES NEW VICE PRESIDENT, PRODUCT ENGINEERING AND NEW VICE PRESIDENT, CLIENT SERVICES

Cincinnati, Ohio – October 20, 2011 — Streamline Health Solutions, Inc. (NasdaqCM: STRM), a leading provider of enterprise and departmental document management solutions and business process workflows for healthcare, today announced the hiring of Tom Dean as vice president, product engineering and the promotion of Michael Brooks to vice president, client services. Mr. Dean and Mr. Brooks report to Gary Winzenread, Streamline Health's chief operating officer.

Mr. Dean brings to Streamline Health over 28 years of experience in the healthcare information systems industry. In his new role he will be responsible for the continued advancement of the STRM 5 architecture and the successful delivery of new Streamline Health products to the market. Prior to joining Streamline Health, Mr. Dean served as vice president of research and development for CareCentric, a healthcare solutions company that offered industry-leading software and services to post-acute care providers. Prior to CareCentric, Mr. Dean was vice president of product development for DocuSys, an anesthesia information management system vendor. Before joining DocuSys, Mr. Dean was employed by Eclipsys Corporation, where he was the vice president of platform engineering and led a team of over 70 employees. Mr. Dean graduated from Emory University with a BA in Mathematics-Computer Science and holds an MBA from the Coles College of Business at Kennesaw State University.

Mr. Brooks has been with Streamline Health for more than two and a half years. He began his career at Streamline Health as director of implementation services, and sequentially expanded this role to executive director, adding responsibility for Support Operations and Software as a Service (SaaS) Operations. In his new role he will be responsible for the Software as a Service business, the Software Maintenance and Support business, and client implementations, essentially consolidating all aspects of ensuring clients' success with the Streamline Health products across the enterprise.

"The hiring of Tom Dean and the promotion of Michael Brooks are consistent with our stated goal of acquiring, and developing, the best and brightest associates," said Robert Watson, president and chief executive officer of Streamline Health. "The right human capital is a critical part of ensuring the success of not only our company, but our clients. In their new roles they will each work to develop solutions and services that continue to meet our clients' needs, and ensure that we continue to develop robust enterprise solutions for our market."

About Streamline Health
Streamline Health transforms unstructured documents, forms, and images into actionable digital assets that improve processes and revenue across the enterprise. Dedicated exclusively to healthcare, our document management solutions create a permanent document-based repository of information that can integrate seamlessly with existing clinical, financial, and administrative information systems. For additional information, please visit our website at http://www.streamlinehealth.net.

Safe Harbor statement under the Private Securities Litigation Reform Act of 1995 Statements made by Streamline Health Solutions, Inc. that are not historical facts are forward-looking statements that are subject to risks and uncertainties and are no guarantee of future performance. The forward looking statements contained herein are subject to certain risks, uncertainties and important factors that could cause actual results to differ materially from those reflected in the forward-looking statements, included herein. These risks and uncertainties include, but are not limited to, the timing of contract negotiations and execution of contracts and the related timing of the revenue recognition related thereto, the potential cancellation of existing contracts or clients not completing projects included in the backlog, the impact of competitive products and pricing, product demand and market acceptance, new product development, key strategic alliances with vendors that resell the Company's products, the ability of the Company to control costs, availability of products obtained from third party vendors, the healthcare regulatory environment, potential changes in legislation, regulation and government funding affecting the healthcare industry, healthcare information systems budgets, availability of healthcare information systems trained personnel for implementation of new systems, as well as maintenance of legacy systems, fluctuations in operating results, effects of critical accounting policies and judgments, changes in accounting policies or procedures as may be required by the Financial Accountings Standards Board or other similar entities, changes in economic, business and market conditions impacting the healthcare industry, the markets in which the Company operates and nationally, and the Company's ability to maintain compliance with the terms of its credit facilities, and other risks detailed from time to time in the Streamline Health Solutions, Inc. filings with the U. S. Securities and Exchange Commission. Readers are cautioned not to place undue reliance on these forward looking statements, which reflect management's analysis only as of the date hereof. The Company undertakes no obligation to publicly release the results of any revision to these forward-looking statements, which may be made to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events.