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How I Balance Big-Picture Strategy with Daily Demands in Healthcare Leadership



Let’s be real—balancing strategy with daily demands as a leader can feel like juggling flaming swords while riding a unicycle. You’re pulled in a thousand directions—solving problems, making decisions, keeping the wheels turning—all while trying to steer the ship toward the future. It’s overwhelming, but here’s the good news: it’s not impossible.


Over the years, I’ve learned that leadership is about balance, not burnout. And trust me, it didn’t come naturally. But with a few key habits, I found a way to lead with intention instead of just reacting to the chaos.


Here’s how I make it work—and how you can too.



1. Start With Time Blocking: Protect Your Priorities


Time blocking changed everything for me. Instead of letting my day get hijacked by endless emails and back-to-back meetings, I divide my week into two types of time:


Strategic Blocks (Non-Negotiable) – This time is sacred. It’s for planning, brainstorming, and focusing on long-term goals.


💡Operational Blocks (The Daily Grind) – This is for meetings, emails, and day-to-day problem-solving.


For me, mornings are gold. I wake up one hour earlier than the rest of the world to:

Move my body (20 min of exercise) – Clears my head.

Fuel my mind (20 min of reading) – Right now, I’m diving into The Rise of Superman by Steven Kotler.

Set my intention (20 min of journaling) – Keeps me focused on the big picture.


🚨 The trick? I never let operational tasks creep into my strategic time. It’s tempting, but if I’m not focused on the big picture, who else will be?



2. Handle the Little Things Quickly


Not everything deserves your full attention. I swear by the Two-Minute Rule:

📌 If it takes less than two minutes—just do it. Approving a document? Forwarding an email? Done.


For everything else, I ask: Do I really need to do this? Or can I delegate it?

(Spoiler: I delegate a LOT.)



3. Delegate Like You Mean It


This one was hard for me. As a leader, it’s easy to think: “It’s just faster if I do it myself.” But that mindset will bury you.


When I finally let go, two things happened:

💡 My team stepped up in ways I didn’t expect.

I freed up time to actually lead.


When I was overseeing the development of senior living facilities, I used to micromanage every detail—until I realized it was draining me and frustrating my team. Once I trusted them to own their work, projects ran smoother, and I had time to focus on the overarching vision: creating spaces where people could truly thrive.



4. Set Boundaries (and Stick to Them)


Boundaries aren’t about being rigid—they’re about protecting what matters most.


📩 Email Boundaries: I check emails twice a day—mid-morning and late afternoon. Urgent ones get attention. The rest? They wait.


📅 Meeting Boundaries: I block one day a week as a NO-MEETING day. It’s a game-changer for deep work.


Pro tip: Before accepting a meeting, ask: “Can this be an email?” (You’d be amazed how many hours this frees up.)



5. Reflect and Adjust Every Week


Let’s be honest—you’re not going to get the balance right every week. That’s okay.

I spend 30 minutes every Friday asking myself:


🔹 What went well?

🔹 What didn’t?

🔹 Where did I waste time?


One week, I realized I was losing hours in unproductive meetings. So, I started pushing back: “Does this really need a full meeting?” That one small change gave me hours back each week.



6. Keep Your “Why” Front and Centre


When I feel overwhelmed, I come back to my purpose.


When I was leading healthcare projects, I reminded myself:

This isn’t just about hitting deadlines or budgets. It’s about creating communities where seniors can live with dignity and joy.


That perspective made the hard days worth it—and helped me prioritize what really mattered.



Leadership Is About Balance, Not Burnout


Here’s the truth: you’ll never have a perfect balance between strategy and operations. It’s always shifting.


But by:

Time blocking for strategy

Handling small tasks efficiently

Delegating with confidence

Setting and enforcing boundaries

Reflecting and adjusting weekly

Keeping your “why” in focus


You can lead with intention instead of just reacting to the chaos.



Let’s Talk!


Now it’s your turn: What’s one habit you can change this week to get closer to balance? Maybe it’s waking up earlier, setting boundaries, or finally saying “no” to that unnecessary meeting.


Want to dive deeper into leadership strategies? Let’s talk. Send me a message or connect with me—let’s build a leadership approach that actually works.








 
 
 

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Hi, thanks for
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Leslie Karmazinuk is a distinguished healthcare professional and executive coach with a proven track record of empowering leaders to unlock their potential and drive meaningful change within their organizations. With over eight years of experience mentoring and coaching over 500 leaders and executives, Leslie combines her extensive knowledge of healthcare systems with her passion for leadership development, making her the ideal coach for executives in the healthcare sector.

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