The secure management of Electronic Health Records (EHR) is crucial due to increasing concerns about data privacy, breaches, and centralized control. This study aims to address these challenges by developing Med-Block, a decentralized framework that integrates blockchain technology and the InterPlanetary File System (IPFS) to enhance data security, integrity, and patient-centric control. The objective is to create a secure, scalable, and efficient system for EHR management while ensuring robust privacy protection. Med-Block utilizes blockchain’s immutability to provide tamper-proof audit trails, while IPFS ensures distributed storage, enabling reliable and scalable data retrieval. Smart contracts are employed to automate data access, ensuring that only authorized users can interact with the records. The findings demonstrate that Med-Block significantly improves data integrity and access control compared to traditional centralized EHR systems, effectively eliminating single points of failure and enhancing resilience against cyberattacks. This study’s results align with the stated aims by proving that a decentralized approach enhances security and accessibility without compromising system efficiency. The proposed framework successfully meets the need for patient-controlled, secure data management, contributing to the broader adoption of decentralized technologies in healthcare.