News Release

FOR IMMEDIATE RELEASE

Streamline Health Listed on Fortune Small Business Magazine’s
List of America’s Fastest-Growing Small Companies for 2007

CINCINNATI, OH July 17, 2007 — Fortune Small Business magazine has included Streamline Health Solutions, Inc. (NASDAQ Capital Market: STRM) in its annual FSB 100 list of America’s fastest-growing small public companies in its July/August 2007 issue.

“We are very pleased to be included in the FSB 100 list,” commented Brian Patsy, Streamline Health’s president and CEO. “We believe Streamline Health’s success comes from our company-wide commitment to serve healthcare organizations with document workflow solutions that enable them to enhance patient care through business process optimization.”

Fortune Small Business ranks the top 100 public companies with annual revenues of less than $200 million and a stock price of more than $1, basing selections on percentage growth in earnings, revenue and stock performance over the past three years. Their methodology favors businesses with a track record of solid performance.

To find out more about the FSB 100, visit Fortune Small Business, or look for the July/August 2007 print edition of Fortune Small Business magazine.

About Fortune Small Business

Fortune Small Business is a general interest business magazine published ten times a year as a joint venture by The Fortune Group at Time Inc. and American Express Small Business Services. Each issue provides hard-hitting, informative coverage of the fastest-growing segment of the U.S. economy--small business. FSB is delivered to 1 million small business owners. Time Inc. is a wholly owned subsidiary of Time Warner. For more information, please visit http://money.cnn.com/magazines/fsb.

.About Streamline Health

Streamline Health (NASDAQ Capital Markets: STRM) is a leading supplier of workflow and document management tools, applications and services that assist strategic business partners and healthcare organizations to improve operational efficiencies through business process optimization. The Company provides integrated technology solutions for automating document-intensive environments, including document workflow, document management, e-forms, portal connectivity, optical character recognition (OCR), and interoperability.

Streamline Health’s solutions create a permanent document-based repository of historical health information that is complementary and can be seamlessly integrated with existing disparate clinical, financial and administrative information systems, providing convenient electronic access to all forms of patient information from any location, including secure web-based access. For additional information, visit our website at 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. 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 impact of competitive products and pricing, product demand and market acceptance, new product development, key strategic alliances with vendors that resell the Company products, the ability of the Company to control costs, availability of products produced from third party vendors, the healthcare regulatory environment, 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 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.