The Health Care Skill Builders Program designed and implemented innovative basic skills courses for health care workers at three hospitals in Alameda County, California. The 10 courses focused on skills identified as necessary for improved job performance and career mobility in the health care field. A team approach integrated social support with instruction through ongoing collaboration among the learning advocates (a union member who assisted in recruiting and other forms of support, a counselor, and an instructor). The program provided workplace literacy skills for workers with limited English, improved workers' basic skills, and assisted workers in furthering their education and training goals. Three types of materials were produced: (1) a curriculum guide for health care workers with outlines for courses in reading and writing upgrade, English as a Second Language for nurse assistants, and test-taking skills; (2) an educational opportunity guide with a comprehensive listing of health care related training and basic skills programs; and (3) two books of student writings. (Appendixes include the final evaluation report; curriculum guide with a skills clusters list, sample course outline, and sample lesson(s) for each course; educational opportunities guide that lists educational programs in these categories: occupational training, community college, adult school, and library and community tutoring; and two books of student writings--one with essays answering the question, "What was useful about the classes attended?" and the other reflecting students' concerns at work, in class, and in their lives.) (YLB)