News Release

FOR IMMEDIATE RELEASE

Streamline Health Named to Forbes Magazine’s List of The 200 Best Small Companies for 2006

Cincinnati, Ohio November 13, 2006 — Streamline Health Solutions, Inc. (NASDAQ Capital Market: STRM) today announced that Forbes magazine named Streamline Health to its 2006 list of The 200 Best Small Companies, appearing in the October 30, 2006 issue.

Streamline Health, ranked 56th on the Forbes list, is one of the leading providers of integrated document workflow solutions for healthcare organizations. To qualify for this list, Forbes bases its selection of businesses on the following criteria: businesses with sales between $5 million and $750 million, positive growth over the past five years and in the past 12 months, net profit margins greater than 5 percent, and a share price of more than $5.

“Streamline Health is honored to be selected by Forbes magazine for this recognition,” commented J. Brian Patsy, chief executive officer at Streamline Health. “We have continued to strategically grow the breadth of our solutions, which enables healthcare providers to streamline their business and clinical document workflows, leading to increased productivity and enhanced patient care. Our vision is to align Streamline Health with strategic business partners and healthcare organizations to improve operational efficiencies through business process optimization.”

About Streamline Health

Streamline Health 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 for automating document-intensive environments, including document workflow, document management, e-forms, portal connectivity, optical character recognition (OCR), and interoperability.

The Company’s workflow-based services offer solutions to inefficient and labor-intensive healthcare business processes throughout the revenue cycle, such as chart coding, abstracting and completion, remote physician order processing, pre-admission registration scanning and signature capture, insurance verification, secondary billing services, explanation of benefits processing and release of information processing. The Company’s solutions also address the document workflow needs of the Human Resource and Supply Chain Management processes of the healthcare enterprise. All solutions are available for purchase or through a remote hosting services model that better matches customers’ capital or operating budget needs.

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. These integrated solutions allow providers and administrators to link existing systems with documents, which can dramatically improve the availability of patient information while decreasing direct costs associated with document retrieval, work-in-process, chart processing, document retention, and archiving. For additional information, please visit our website at: www.streamlinehealth.net.

"Safe Harbor" statements 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.