The Industrial Internet of Healthcare Things (IIoHT) is the emerging paradigm in digital healthcare. Context-aware healthcare sensors, local intelligent watches, healthcare devices, wireless communication technologies, fog, and cloud computing are all parts of the IIoHT used in healthcare. The ubiquitous healthcare services it provides to its users in practice. However, the current IIoHT healthcare frameworks have security and failure issues in mobile fog and cloud networks where they are spread out. This paper presents the secure, fault-tolerant IIoHT Framework based on digital twin (DT) federated learning-enabled fog-cloud models. The DT is an effective technology that makes virtual copies of servers at different locations. DT integrated with federated learning inside the fog and cloud environments, where the failure of tasks and execution improved for healthcare sensor data. The study aims to reduce processing time and the risk of task failure. The study presents the Secure and Fault-Tolerant Strategies (SFTS)-enabled IIoHT framework that optimizes wearable sensor data and executes it with the minimum offloading and processing delays. Simulation results show that the proposed work minimized the security risk by 40%, failure risk of tasks risk by 50%, and the training and testing time by 39% for sensor data during the execution of mobile fog cloud networks.