What’s New

Success has its downside.

We have received many inquiries from those wishing to join our practice. Our primary goal is to optimally care for those already enrolled, by capping our practice size to approximately one half the size of a traditional practice. The good news is that our model has proven successful: the bad news is that we must occasionally put a hold on enrolling new patients. This is generally for a brief time, if at all. We then welcome new members as our capacity allows. Please see the “enrollment” tab under the “INTRODUCE” tab on the home page for more information.

Access your medical record, schedule an appointment, and pay your bills via our new Patient Portal

In November, after months of careful consideration, we made an important and significant shift to AthenaHealth as our Electronic Medical Record and billing partner. This provides our practice with state of the art tools for enhancing communication and data/test sharing securely with our patients. It also allows us to provide a summary of your visit with us and may include additional advice for reference after your appointment. In addition, AthenaHealth employs efficient billing tools, as interacting with insurers has become even more complex. We hope you will enroll in the Patient Portal and take advantage of this important tool…be it reviewing your medical history, medications and immunizations for accuracy (please be sure to contact us if you find any discrepancies!), self-scheduling an appointment, asking a question or viewing and paying a balance.

In the news.

Dr. Bloomer was named the “Top Family Doc” in NH Hampshire Magazines annual readers poll for 2014 and again in 2016. Dr. Bloomer was thrilled to receive this honor. Of course, no Doc is an island and a great deal of the credit goes to our wonderful providers, Susan McKernan, Kareen Worrell and Casey Bloomer; and of course (as all small business owners know) the staff who are really the ones keeping us on track. Kudos to Lisa, Peggy, and Erin, our ‘co-directors’ of first impressions!

Dr. Bloomer was featured in the Medical Sunday section of the Seacoast Sunday Newspaper in a June 2016 article by Susan Laurent titled “Health Management. Engaging Patients Provides Better Outcomes”. The article explored health confidence and how understanding this important concept can lead to improved outcomes for our patients.

YourMedicalHome was cited in the British Medical Journal (Britain’s equivalent of the New England Journal of Medicine) in a Spotlight Analysis “Patient-reported outcome measures in practice” in February 2015. The article comments on our use of the HowsYourHealth Survey as an important tool for patient care and an example of a PROM (Patient Reported Outcome Measure).

YourMedicalHome featured in Transformation Times, Anthems national monthly newsletter. This monthly newsletter focuses on ways to improve medical practices.

Dr. Bloomer was interviewed for Seacoast Online Article, Anthem Program Rewards Quality Patient Management, which was published in October 2014. Anthem has been working closely with our practice to provide the highest quality care to all of our patients, providing us with new tools and expertise usually only available to very large healthcare organizations. This has allowed us to ‘act big’, while ’staying small’.

We continue to monitor insurance contracts.

We continue to be directly contracted with Anthem and Harvard Pilgrim Health Plans offered through the exchange. A detailed email was sent to all patients in early 2016 regarding these issues. Given all of the uncertainty in the health insurance marketplace, feel free to call the office should you have any questions or concerns.

A number of our patients are covered by insurances with whom we do not directly contract. Most recently we have reviewed a contract from CIGNA, as a number of school districts have switched to these plans. Regrettably, the reimbursement is considerably lower that Anthem and Harvard Pilgrim, and we are not able to contract with them without more favorable terms. On the positive side, many employers offer a POS (point of service) plan, which allows members to see any physician. Should you be covered by a CIGNA plan, a call to your administrator can’t hurt to let them know we are willing….just not willing to compromise our care.

YourMedicalHome continues to participate in Ideal Medical Practices.org collaborative.

This is a group of innovative practices from across the country with the goal of radically improving the way we deliver Primary Care. Supported by experts associated with the Institute for Healthcare Improvement and Dartmouth Medical School faculty, these small practices strive to give patients “exactly the care they want (and need), exactly where and when they want (and need) it”. This “collaborative” works toward this goal by sharing ideas and expertise gathered from around the country, using the latest in technology, all wrapped around an optimal Physician-Patient interaction.

Online Scheduling is Here!

We are the first practice in our area to allow patients direct access to our schedule! 11 AM or 11 PM, no need to wait for the office to open to select a time that works for you.

Patient Portal

Please visit our portal to self-schedule an appointment or communicate with our practice online.
(Enrolled patients only)

Pay A Balance

Click the button below to pay a balance.

Online Health Survey

Please take 10 minutes to complete this online health survey.

Your Medical Home

21 Hampton Road, Building 2, Suite 201 Exeter, NH. 03833

Phone: 603.418.6310
Fax: 603.418.6311

Office Hours
Monday - Friday, 8:30am - 5:00pm

Jim, born and raised on Cape Cod, attended the University of Massachusetts School of Medicine after graduating Phi Beta Kappa from the University of Vermont.  He completed his Family Practice Residency in Baltimore, Maryland in 1990, serving as Chief Resident during this third year.  After enjoying private practice for 5 years, he was one of the first Physicians to form CORE Health Services, a large, multispecialty group, serving on their Board of Directors.   After 10 years as an employed Physician, he established YourMedicalHome as an independent, Primary Care Practice, with a vision of the Patient Centered Model of Care.  He maintains privileges at Exeter Hospital, and has served on Medical Staff Leadership of that institution.

Various experiences, including involvement with the Institute for Healthcare Improvement, the Ideal Medical Practices Collaborative, the Dartmouth Cooperative Research Network as well as practicing in a number of different Primary Care Models has provided Jim with a unique perspective into what works, and what does not work, in the Primary Care Setting.  He has found the smaller practice model to be an ideal way to bring innovation in care delivery quickly to where it matters most, the patient.  This can be as simple as a phone system that allows all (including Physicians) to answer the phone, to patient direct online scheduling, to the encouragement of email communication, or to something as ‘old fashioned’ as regularly performing house calls.

Jim believes that excellent and timely communication, easy access and continuity of care are absolutely critical to the care we provide, and believes that all we do should augment these goals.  He enjoys speaking about any issue involving the practice of medicine and greatly enjoys the long term relationships with the patients of the practice, realizing that these insights can be very important in the provision of the care they need, and want.

You may see him jogging, biking or rowing around the Seacoast.  He is married to Casey (see below) and lives in Exeter with Casey and their four children, two girls followed by two boys.

Kareen is an Osteopathic Physician. Growing up in a family of ten children in suburban Boston, she knew that she wanted to be a “Family Doc” since the age of eight. Her background training includes an undergraduate degree in Biology from Saint Michael’s College in Vermont, and a Doctor of Osteopathic Medicine from the University of New England in Maine.  For over 20 years, she has been committed to helping patients achieve better health. Kareen believes that being healthy is a partnership between eh patient and the physician, and is committed to helping guide her patients to a healthier life.  Kareen is passionately interested in preventative care, fitness, exercise and other lifestyle choices that patient make to deal with stresses that contribute to so many illnesses.  She is quick to prescribe lifestyle changes and exercise, and is slower to suggest “fix-it pharmaceuticals” which often only treat symptoms, not their underlying causes.  She has been involved with the developing science of Resiliency Training through the University of Pennsylvania, helping teach these techniques to those in the military.

Kareen lives on the Seacoast of New Hampshire with her husband of over twenty years, Peter.  They are avid cruising sailors, and have cruised from Newfoundland and Labrador, through the coast of Maine, the Caribbean, in Ireland and England, and the South Pacific.  Kareen is committed to physical fitness, particularly enjoys being with her large extended family, reading, photography, travel, amateur woodworking and loves old quilts. Kareen sees patients in the office a couple of days per week, and makes house calls when necessary.  When not in the office, you’ll often find her somewhere on the water!

Casey, a Pediatric Nurse Practitioner, was born and raised near Washington DC.  She received her Bachelors of Science in Nursing from Fitchburg State College, graduating Magna Cum Laude.  She earned her Masters in Nursing from the University of Maryland while working at Children's Hospital National Medical Center in Washington, DC. Casey has more than 20 years of experience caring for children in the outpatient setting.  This experience, coupled with raising four children of her own, gives Casey ample perspective and empathy, with regards to the unique needs of our pediatric patients and their families.

Casey is married to the ‘other’ Bloomer in the practice and enjoys her large extended family, being the 9th of 10 children.  You might also see her running around town, literally. She values spending ample time with all families to address whatever issues might arise.

Susan, a Family Nurse Practitioner, graduated with a Bachelor of Science in Nursing from UMASS, Lowell in 1979. She enjoyed working in a variety of settings including the Greater Lawrence VNA, and during the early 1980s was thrilled to be involved in the planning and development of the hospice program for that organization. While working and raising her children, Sue went back to UMASS to obtain her Masters Degree in Nursing. She has had the pleasure of working for the past 16 years in Family Practice with Michael Lannon, MD, until his retirement in August 2010. She has learned so much over the past 30 years of nursing practice, both from her coworkers and particularly from her patients. Sue believes that listening is crucial to helping people. Sue is very excited to have the opportunity to begin a new chapter here with Jim and his staff – and looks forward to meeting with patients and their families, listening to their concerns and working with them to develop a plan of care to optimize their health. Sue lives on the Seacoast with Tom, her husband of 28 years. They have three grown children and an overgrown Westie. She enjoys being outdoors, walking, hiking, XC-skiing and spending time with her family.

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