The traditional organization of hospital care along rigid specialty lines is increasingly challenged by the complex clinical profiles of today’s inpatients. Multimorbidity, polypharmacy and functional decline are now common among medical admissions, particularly in the elderly [1]. In this context, the classic binary division between general medical wards and intensive care units (ICUs) appears insufficient. A more nuanced model is required — one that offers scalable, patient-centered care based on acuity rather than diagnosis or specialty.