Mobile devices are becoming the integral access point of accessing the Electronic Health Records (EHR). This creates the need to enforce some level of reliability in terms of services accessibility time. However, supporting real-time access and services synchronization in highly distributed mobile environments can be challenging due to the fact that mobile devices rely on wireless communication mediums which can be unstable due to the mobility of the healthcare professionals. As an ongoing joint research with the City Hospital in Saskatoon, Canada, we focus on providing realtime accessibility of the medical record in the mobile environment. We propose a cloud-hosted middleware which performs macro activities such as medical services composition, data hoarding, and medical data events management. The evaluation of the framework, called Med App, shows that medical data dissemination can be achieved in a low-latency fashion.