A two-pronged project model aimed to reduce the volume and increase the usefulness of health care materials and improve the literacy, verbal communication, and problem-solving skills of hospital employees. Regular meetings with hospital staff led project personnel to begin training with the cleaning staff in the areas of fire safety, back care, hazardous materials, and infection control; they also revised job training materials and developed job aids for use of complex technical equipment by the nursing staff. In addition, a communication and problem-solving curriculum was developed for employees who deal with the public. During the 18 months of the project, 236 employees received training (almost 5 times the number projected). Females outnumbered males three to one. The project developed 15 sets of training materials, including an interactive video instructional unit, instead of the projected 2 sets. Participants came from 31 departments of the hospital. Evaluation by project staff and an outside evaluator using project documents, telephone conversations and correspondence with the project director, direct observation, interviews with hospital managers and pretests/posttests showed that the project had met or exceeded its goals. (A total of 23 appendixes in the 2 reports in this document contain: a workplace literacy program and information form; project design; forms to be evaluated and training programs created for their use; lists of dissemination activities and publicity activities.) (KC)