This publication consists of materials produced by Step Ahead, a National Workplace Literacy Demonstration Project--a partnership between New Mexico State University and Memorial Medical Center, Las Cruces, New Mexico. The project abstract is a one-page summary of facts, objectives, and procedures related to this project, which provided onsite instruction at Memorial Medical Center in job-specific literacy and improved intrahospital and hospital-patient communication by revising hard-to-read documentation. The final performance report (February 1992) presents these results: 238 hospital staff attended 1,556 hours of instruction, and the project offered short courses, English skills workshops, and individual assistance and tutoring. A needs assessment (October 1990) describes information collection activities to identify needs and define program goals concerning staff and staff/patient communications at Memorial Medical Center. It proposes courses, documentation projects, liaison relationships, and intervention activities. Three progress reports (December 1990, April 1991, and August 1991) detail ongoing evaluation and commentary on the project. The final performance report and the progress reports also contain attachments that include attendance figures, ethnic participation, evaluations, and an article on the Medical Spanish courses offered. (YLB)