The diagnostic. A structural read across the five patterns: what's bearing weight, where it's failing and what's capping the next phase. The pattern that surfaces first is rarely the loudest problem.
The redesign. Once the constraint is named, it gets rebuilt. Not a list of recommendations: the decision rights, cadence and commercial structure underneath the business, changed so the next phase can carry weight.
The work. Runs alongside the business, not as a project that pulls leadership out of it. The business keeps running while the structure changes underneath.