The Continuing Education Institute's Workplace ESL (English-as-a-Second Language) and ABE (Adult Basic Education) programs improved the job experience for employees with language and literacy problems in Boston (Massachusetts) by teaching them language strategies that had direct application to their jobs. Health care administrators, supervisors, and employee participants provided the workplace details that became the core of a specialized curriculum. Participants read, talked, and wrote about their jobs. Classes met for 2 hours twice each week. In all there were 51 classes in 5 locations serving 141 employees from 6 health care organizations. The quality of care of the residents or patients entrusted to program participants was noticeably improved as a result of the project. Employees can now fill out patient forms correctly, inform residents and patients of what they are going to do to them as part of their care, and report problems. They have shown more initiative, have become more observant, and want to know more about illnesses and medicines. They also have become more positive and more self-confident. An outside evaluation by Marcus Lieberman, Ph.D., verified these positive outcomes. Five attachments containing statistical and other supplementary materials are provided, as is the text of the outside evaluation report. (KC)