Exhibit 16.1

Letter dated December 12, 2007 from Ernst & Young LLP to the Securities and Exchange Commission

December 12, 2007

Securities and Exchange Commission
100 F Street, N.E.
Washington, DC 20549

Gentlemen:

We have read Item 4.01 of Form 8-K/A dated December 12, 2007 of Streamline Health Solutions, Inc. and are in agreement with the statements contained in paragraphs 1, 2, 3, 4 and 5 on page 2 therein. We have no basis to agree or disagree with other statements of the registrant contained therein.

/s/ Ernst & Young LLP