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Introduction: Value B ased Health Care (VBHC) is an approach developed at Harvard Business School (HBS) that explores best practices for reorganizing and coordinating health care, improving process efficiency, implementing innovative payment approaches for the entire cycle of care to achieve results that are important to the patients rather than the amount of activity, as well as integration into practice at the entire system level. Objective: Conducting external evaluation, cost analysis, process analysis, management team structure analysis, and technical solutions in an ophthalmic clinic as a concept in performing an ophthalmic procedure in patients with macular degeneration through the application of value-based health care and time-driven activity-based costing (TDABC) in particular. Material and methods: Interviews were conducted with part of the staff to establish the roles of the participating staff, their number, as well as their responsibilities, together with a sequence of all steps in the procedure. The process of intravitreal application was monitored and the time for performing the individual steps of the procedure was measured. An analysis for optimization of the management and technical decisions concerning the conduct of the procedure was performed. Results: The sequence and duration of the procedure processes (process mapping), financial model calculating the capacity cost rate per minute of the participating staff and the minutes active work for each one of the personnel, and analysis and recommendations concerning the management and technical decisions for the procedure are presented. Recommendations were made to improve productivity after visiting the ophthalmic clinic. Conclusion: Using a multidisciplinary strategy covering qualitative and quantitative research methods, VBHC, and in particular -TDABC, fill the current gaps by providing evidence-based recommendations for improving performance and determinants of productivity. [ABSTRACT FROM AUTHOR]