Streamline Health Solutions (STRM) 8-K Entry into a Material Definitive Agreement

10.4 Amendment No. 1 to Employment Agreement of Donald E. Vick, Jr.

Amendment No. 1 to Employment Agreement

          ThisAMENDMENT NO. 1is entered into as of this 27 day of January, 2006 by and among LanVision Systems, Inc., a Delaware corporation (“Parent”), LanVision, Inc., an Ohio corporation (“Company”) and Donald E. Vick, Jr. (“Employee”).

          WHEREAS, the Company and Employee entered into an Employment Agreement dated as of December 3, 1996 (“Employment Agreement”), whereby Parent and the Company agreed to employ the Employee; and

          WHEREAS, Parent, the Company and Employee desire to amend the Employment Agreement as set forth herein;

          NOW, THEREFORE, in consideration of the premises and the agreements contained herein, and other good and valuable consideration, the receipt and adequacy of which the parties hereby acknowledge, the parties agree as follows:

In consideration of the Employee’ responsibilities and roles, Parent and the Company agree to pay Employee effective February 1, 2006, Employee’s salary for the period commencing on such date through January 31, 2007 shall be One Hundred One Thousand Seven hundred ninety Dollars ($101,790).

Continuing Agreement. Except for the changes set forth in this Amendment No. 1 the Employment Agreement remains in full force and effect without modification.

Counterparts.This Amendment No. 1 may be signed in counterparts by Parent, the Company and Employee.”

          IN WITNESS WHEREOF,the parties have executed this Amendment No. 1 as of the date set forth above.

LanVision Systems, Inc.
By:	/s/ Paul W. Bridge, Jr.
Paul W. Bridge, Jr.
Chief Financial Officer
LanVision, Inc.
By:	/s/ Paul W. Bridge, Jr.
Paul W. Bridge, Jr.
Chief Financial Officer
Employee
/s/ Donald E. Vick, Jr.
Donald E. Vick, Jr.