NH Clinical and Operational Director; Pediatric Neuropsychologist; PSYPACT-authorized
As we undertake our annual update to NESCA’s comprehensive procedures manual, it’s a moment to reflect on what truly sets our practice apart. The level of structure and support can vary widely in private neuropsychological practices. However, at NESCA, we have intentionally built a model that prioritizes a high degree of structure, explicit expectations, and robust support for our neuropsychologists. We believe this approach ensures the highest quality of care for our clients and the greatest professional growth for our clinicians. Our neuropsychology procedure manual is not just a set of rules; it is a living document that embodies our commitment to excellence.
A Culture of Structure and Accountability
Few neuropsychology practices can claim to have an employee procedures manual as comprehensive, and as regularly updated, as NESCA’s. Our manual is reviewed and revised annually to reflect the latest best practices, regulatory changes, and the evolving needs of our clients and staff. This level of procedural clarity is a hallmark of our commitment to excellence.
From the moment a referral is received, every step – intake documentation, insurance, file management, scoring protocols, feedback, and report writing – is governed by clear, detailed procedures. Our clinicians are never left to guess what is expected, as there are explicit expectations and timelines for every stage of the evaluation and reporting process. These standards are tracked and reinforced by clinical directors.
Unmatched Oversight and Training
At NESCA, oversight is about ensuring quality and fostering growth. New staff are onboarded with in-person training and have direct access to clinical directors for case consultation and procedural questions. We not only have real-time clinical support, but we also have a strong administrative team that can troubleshoot anything from an IT issue to ordering supplies. Thanks to the roles clearly defined in the manual, there is never a question about who to go to when these needs arise.
Although many practices see frequent psychometrician turnover, NESCA has had a consistent, strong team of psychometricians who are committed to excellence in scoring. The procedures manual outlines standardized procedures for scoring, data management, and file security, and clinicians are responsible for cross-checking all data. Although rare, errors are addressed through direct feedback, and there is a clear chain of communication for resolving issues that arise. This system of checks and balances helps ensure the accuracy and integrity of our clinical data, allowing clinicians and clients to feel confident in their findings.
A Commitment to Professional Development
NESCA’s oversight goes hand-in-hand with our commitment to professional development. Not only do we provide regular staff training, our procedures manual includes guidance on matters such as efficient report writing, guidance for legal hearings, insurance requirements, and the latest assessment technologies. We emphasize ongoing education, with recommendations for tracking CEU workshops and maintaining up-to-date curriculum vitae (CVs).
Why This Matters
Neuropsychology is complex, and the stakes are high. Clients come to us seeking answers and guidance for some of life’s greatest challenges. By providing a highly structured, supportive environment, NESCA ensures our clinicians deliver the highest standard of care – consistently, efficiently, and ethically. NESCA emphasizes strong systems and a culture of continuous improvement. This benefits our staff, our clients, our referring partners, and the field as a whole. NESCA leads the way by valuing structure, mentorship, and excellence. We don’t just set the bar – we raise it every year.
And on that note, I better get back to updating that manual – after all, the bar isn’t going to raise itself.
About the Author
To book an evaluation with Dr. Currie or one of our many other expert neuropsychologists, complete NESCA’s online intake form. Indicate whether you are seeking an “evaluation” or “consultation” and your preferred clinician in the referral line.
NESCA is a pediatric neuropsychology and related services practice with offices in Newton, Plainville, and Hingham, Massachusetts; Londonderry, New Hampshire; greater Burlington, Vermont, and Coral Gables, Florida, serving clients from infancy through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.
