Cincinnati, Ohio – October 4, 2011 — Streamline Health Solutions, Inc. (NasdaqCM: STRM), a leading provider of enterprise and departmental document management solutions and business process workflows for healthcare, announced today that PeaceHealth, a regional healthcare system serving rural, suburban, and urban communities in Alaska, Washington, and Oregon, has signed an agreement through Streamline Health's strategic partner, GE Healthcare, to upgrade to AccessAnyWare v5.1. As part of the agreement the solution will be implemented in PeaceHealth's hospitals and clinics in 2012.

AccessAnyWare v5.1 utilizes modular architecture which leverages components across the framework allowing for increased product development cycles and improved support, as well as simplified deployments. The new architecture will also allow for enhanced performance by allowing other internal systems, including EMR systems, to leverage the open architecture. By utilizing one framework it will also decrease the amount of time and expense clients previously spent training new personnel on multiple systems.

Robert Watson, president and chief executive officer of Streamline Health, commented, "Our product team is focused on developing technologies that give our clients as much flexibility and scalability as possible. Their efforts have resulted in a next generation product that provides enhanced features and functionality, and gives Streamline Health the ability to provide better and faster product development and support to our clients. The new release will provide a solid foundation for our future product development, and we're pleased that PeaceHealth has decided to upgrade to this new version."

Vickie Schraudner, PeaceHealth System Director for HIM, said, "We have been successfully using AccessAnyWare and Streamline Health's workflows for years. We are looking forward to the additional features and capabilities this new release will provide, including the simplified installation and reduced downtimes for upgrades and patches, as well as enhanced built-in efficiency processes. We look forward to continuing our partnership with Streamline Health."

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.

About PeaceHealth
PeaceHealth is a Washington-based not-for-profit Catholic health care system with medical centers, critical access hospitals, medical groups and laboratories in Alaska, Washington and Oregon with approximately 15,000 caregivers (employees). Founded by the Sisters of St. Joseph of Peace, PeaceHealth has provided health care services to Northwest communities for more than a century. PeaceHealth consistently receives national recognition for innovations in patient-centered care, patient safety and healthcare technology and cost efficiency. For more information about PeaceHealth, visit www.peacehealth.org.

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.