First, the list above seems to be an amorphous thing to me. If other people can't tell what the outcome or next physical action is then that might mean that information is still in your head. And if it's still in your head it means a thorough assessment hasn't been done. So first thing I would do is start at the bottom, at the actions/project level and really define your successful outcomes (what does wild success look like?) and the very next physical action (if you imagine yourself doing it, what do you see?). Once that work is clear then you need to go through your higher horizons (areas of focus, goals, vision, purpose) and really have a conversation with yourself as to what matters to you the most, where you want to be in a few years and why. This higher level thinking is critical if you want to get rid of that day-to-day feeling that you're not working on the right things.