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> What does "out there" mean?

Asking your network for introductions, cold emailing, et cetera. If you can’t do this you shouldn’t be a start-up CEO.

All of which happens in your office...

> All of which happens in your office

Not necessarily. Particularly when it comes to early stage work, a lot of trust building must happen face to face.

In any case, "out there" means being "out" in the awareness of the people on whose radars you want to be. (Versus twittering about in a corner unnoticed.)

In the offices of your clients, suppliers, partners, and regulators.

Meeting with clients and investors often but not always involves travel.