Map both formal documented systems and informal actual

Identify the system before trying to change it

Map the current system completely before intervening. Most system change efforts fail not because the intervention was wrong but because the change agent misidentified the system — addressing a visible subsystem while the actual driver sits in a different, invisible part of the organization. System identification requires mapping the boundaries (what is inside and outside the system), the components (what elements interact to produce the outcome), the connections (how elements influence each other), and the dynamics (how the system behaves over time). Without this map, intervention is guesswork.