Five year agreement includes Streamline Health's first sale of Standard Register's SMARTworks(R) Clinical Enterprise CINCINNATI, Sept. 25 /PRNewswire-FirstCall/ -- Streamline Health Solutions, Inc. (NASDAQ:STRM), one of the leading providers of integrated document management and workflow solutions, today announced that The Health Alliance of Greater Cincinnati(TM), a network of five hospitals throughout Greater Cincinnati, has agreed to deploy Streamline Health's accessANYware(TM) document workflow solutions, as well as Completion and Coding Workflow solutions at four Health Alliance hospitals through the Company's hosted ASP model. The agreement also includes the renewal of University Hospital, a member of the Health Alliance and a customer of Streamline Health since 1991. New document workflow solutions will also be deployed at the Health Alliance's business center, which serves all five hospitals. As part of the document management and workflow solutions provided under the agreement, Streamline Health will also deliver SMARTworks(R) Clinical Enterprise to all five hospitals through an alliance with Standard Register (NYSE:SR). This marks Streamline Health's first sale of Standard Register's suite of applications. This suite helps create more accurate patient documentation while streamlining the flow of that information into Streamline Health's system, so it can be more quickly accessed by clinicians and other hospital staff. "Streamline Health's document workflow solutions will enable us to dramatically improve how documents and data flow within our entire network and across all of our facilities. Streamline Health is an important partner in helping the Health Alliance to operate in the most efficient manner possible," commented Jay Brown, vice president of Information Systems and Technology at the Health Alliance. Streamline Health expects to implement the solutions in the four new facilities beginning in the third quarter of 2008, while the renewal agreement with University Hospital will take effect immediately. The ASP solution utilized by the Health Alliance will deploy advanced workflow solutions to facilitate the registration process for patients, streamline coordination with insurance companies, and save physicians' time in accessing and completing medical records. As an integrated health delivery network, the Health Alliance serves the Greater Cincinnati, Ohio area with four hospitals, including teaching, acute care and rehabilitative hospitals that offer a range of medical and surgical services. A fifth hospital, West Chester Medical Center, currently under construction and scheduled for completion in early 2009, will be a 160-bed, technologically advanced full-service hospital. Mr. J. Brian Patsy, president and CEO of Streamline Health, said, "We are pleased to be expanding our relationship with The Health Alliance of Greater Cincinnati. The Health Alliance has taken an important proactive step in assuring that timely patient care is promoted by increasing the efficiency of its document workflow processes across their entire system. We are also pleased to have partnered with Standard Register by integrating their eForms solution into the Health Alliance's workflow operation. We believe that the solutions provided by Standard Register are a natural extension of the document management and workflow solutions that we offer here at Streamline Health. We look forward to collaborating with Standard Register for a long time to come." About Streamline Health Solutions, Inc. Streamline Health is a leading supplier of workflow and document management tools, applications and services that enable 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 http://www.streamlinehealth.net/. About the Health Alliance The Health Alliance includes University Hospital, The Jewish Hospital, Fort Hamilton Hospital, Drake Center, West Chester Medical Center, Alliance Primary Care and Greater Cincinnati Associated Physicians. In 2007, the Health Alliance and its member hospitals provided $107 million in community benefit to the citizens of Greater Cincinnati, to include $44 million in free medical care, $24 million in medical research and education, $14 million in community health services and $17 million in subsidized health services. The Health Alliance also spent $23 million with Cincinnati-based businesses that are women or minority-owned, and was recently recognized by Ohio Governor Ted Strickland as a "best practice" for its innovative and progressive hiring policies for people with disabilities. About Standard Register Standard Register is a premier document services provider, trusted by professionals in healthcare and other industries to manage the critical documents they need to thrive in today's competitive climate. Employing nearly a century of industry expertise, Lean Six Sigma methodologies and leading technologies, the company helps organizations increase efficiency, reduce costs, mitigate risks, grow revenue and meet the challenges of a changing business landscape. In addition to technology solutions, it offers secure prescription solutions, document and label solutions, professional services and print supply chain services to help clients manage workflows throughout their enterprises. More information is available at http://www.standardregister.com/. "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 timing of the closing of contracts and the timing of the subsequent revenue recognition related thereto, 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. DATASOURCE: Streamline Health Solutions, Inc. CONTACT: Carolyn Stendahl, Streamline Health, Marketing Communications, +1-513-794-7100, ; or Christine Winters, Standard Register, Corporate Communications, +1-937-221-1804, ; or Joe Diaz, Robert Blum or Joe Dorame, Lytham Partners, LLC, +1-602-889-9700, ; or Robert J. Cestelli, Standard Register, Investor Relations, +1-937-221-1304, Web site: http://www.streamlinehealth.net/ http://www.standardregister.com/

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