Rule No. 49 đź“” People Over Processes.

Executive Insights đź‘Ą Tell us how this Rule has played out in your company.

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Executive Insights 👥


I built our intake and matching system myself, and it can run end to end without a person touching it. A client describes what they need, the system scores clinicians, and a match goes out by text and email. I deliberately kept a human decision in that loop anyway.

The tempting version of this rule is that process scales and people do not. In most of the business that is true, and I automate everything I can. But matching someone with a therapist is the one moment where a wrong answer costs more than a slow one. A person who finally reached out after months of hesitation and gets a poor fit may not reach out again. The data can rank clinicians. It cannot always hear what the person was really asking for.

So the rule I work by is: automate the work, not the judgment. Let the process do the sorting, the scheduling and the reminders. Keep a person on the decision that carries the most weight for the human on the other end.

What I would tell another executive: before you automate a step, ask what a wrong answer costs the customer, not what a slow answer costs you. If the cost of wrong is high, keep a person on it, even when the software is good enough to take over. —Elijah

More about Elijah and CEREVITY

CEREVITY is a private-pay concierge network of independent licensed clinicians built for high achievers: executives, founders, physicians, attorneys and finance leaders. I am co-founder and CTO, with about 20 years in healthcare IT, including as director of IT operations at a national mental health company. connect with Elijah on LinkedIn

Elijah Fernandez, Co-Founder and CTO

CEREVITY Health, Inc. | Lakewood, CA

đź“– the book behind the Rule


The Human Side of Enterprise, by Douglas McGregor

This book has reshaped modern management thinking by challenging the assumption that workers must be controlled, coerced, or constantly monitored. He introduced Theory X and Theory Y, two opposing views of human motivation.

  • Theory X assumes people dislike work, avoid responsibility, and need strict supervision.
  • Theory Y assumes people are self-motivated, seek meaning, and perform best when trusted and empowered.

McGregor argued that most organizations were built on Theory X assumptions, stifling potential and innovation. He made a compelling case that leadership grounded in trust, autonomy, and belief in human potential produces stronger results and healthier cultures.

Executive Takeaway: Your management philosophy shapes your company’s reality. If you treat people like problems to be managed, they’ll act like it. Treat them like partners in the mission and they’ll deliver beyond any process you could ever design.

“The ingenuity of people is far more reliable than the ingenuity of systems. Trust in people is not naĂŻve…it’s essential.”

— Douglas McGregor


Douglas McGregor and his theories

Good processes make good people better. Bad processes make everyone’s job harder. Don’t keep adding new rules and procedures because you don’t trust your people to make good decisions. Hire people worth trusting, build systems that support them, and stop managing for the worst-case employee. People over processes.

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