Although Organization Development (OD) is an efficient tool for Human
Resources Development (HRD), concrete outcome of success in a public organization is
rarely achieved. One of the secrets of the Japanese HRD is “KAIZEN” or continuous
improvement. Although it is known worldwide, many obstacles were claimed for its
application in the public organization. Yasothon Hospital has experienced the use of
‘KAIZEN’ for quite a while, however success in its application was still remote. That
was until 1994, when the new management team decided to apply a package of Total
Quality Improvement (TQI), Quality Control (QC), 5 S’s and a suggestion system with
systematic planning and continuous improvement. This created new hopes for the future
development of the hospital. This paper tells the story of this movement.