A famous cronic desease hospital's health care to be visited

we have visited a hospital in charge of the cronic disease and feel impresive very much about its success.

Rasch and Continuous Variableshttp://www.rasch.org/rmt/rmt211.pdf
Question: Can Rasch analyze continuous response-level data, such as time and distance?
Answer: There are Rasch models for continuous observations, but processes are rarely truly continuous.
Rasch is formulated in terms of distinguishable qualitative advances.
How much better, faster, more accurate, does a performance need to be for it to be noticeably better?
Think of the same thing in human weight. Our weight varies all day long, so it is not until it has changed by 2 kilos that we really notice a difference. ( Just for the sample-average)
The basic approach in Rasch is to start by categorizing really begining increments.
If those are analyzed successfully, we can then reduce the size of the increments until we reach the level where further reduction introduces more randomness than information into the data.

There are several indicators of over-categorization.
One is that the model polytomous category probability curves start to look a mess, instead of an advancing range of hills. Another is that, as the number of categories increase, the sample-person “test” reliability falls far behind the value predicted by the Spearman-Brown Prophecy Formula.
Going from 2 categories (one decisioner item) to 3 categories (two decisions per item) is some
what like doubling the test length, but not so efficient.
So given the reliability, R(m), for an m-category rating scale, we would predict the reliability for an (m+1) category rating scale to be appreciably better, in the range:R(m) < color="#cc0000">keep track of the reliability as we increase the number of categories. When reliability not longer shows a reasonable increasing (or starts to decrease) we have overcategorized. John M. Linacre