In the early days of a new business, you make choices—conscious and unconscious—that will influence your culture far into the future. If you’re not careful, those choices can become patterns that limit your ability to thrive. Consider that today’s most trusted and important institutions—in business, health care, government, philanthropy, and beyond—are struggling to stay relevant and useful in the face of new entrants and rapid change. It’s as if they were wired for a completely different environment.