The document discusses how organizations need to adapt to operate effectively in real-time culture. It argues that institutions that are hierarchical, bureaucratic, and distrustful struggle in this new environment, while those that are trusting, agile, informal, and collaborative can thrive. Specifically, successful organizations operate with a shared responsibility and real-time decision making through a culture of trust; have the ability to improvise and respond quickly to changing information; take an informal approach that encourages creativity; and collaborate by tapping collective contributions.