Innovations and challenges over many years. Our experience for your success. Sustainability also has a social component

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CERT

03 04 06 08 09 10 11 15 Innovations and challenges over many years Our experience for your success Our regulations Quality management Sustainability also has a social component Certification in cooperation with professional societies Quality seal Geriatrics Success is no accident

Years of innovations and challenges 03 Companies and organisations have to meet new challenges, especially since 2009 and the related most serious international economic crisis since 1929. In this difficult economic time, many have identified the importance of a sustainable development and functional management systems for assurance of the company success. It is not surprising therefore that 3cert GmbH can look back on successful years, marked by growth.. 3cert GmbH wants to further their positive development and will continue to invest in service and product developments that promote benefits for its customers. The customer remains at the heart of the activity. His needs and desires, as well as the changed market conditions set the direction. Be it in questions of sustainability, on issues of occupational health and safety, or the assessment of management systems for the perception of social responsibility (corporate social responsibility) 3cert GmbH is at the side of their clients also here with competent auditors. We are convinced that we will contribute in the future, through value-adding services, to the increase in competition and future viability ofcustomers. We focus on the quality of work of our customers and feel bound to this principle. In an environment of permanent economic, social and cultural changes, this principle is challenge and commitment at the same time. Castrop-Rauxel, May 2014 Dr. Alfons Roerkohl

04 2001 Founding of 3cert GmbH in May 2001 in Dortmund within the framework of the "Dortmund Project". Accreditation for certification of DIN EN ISO 9001 by TGA GmbH in August 2001. 2002 Accreditation by KTQ GmbH (Cooperation for trans parency and quality in Healthcare) for the area Hospital. 2003 Moving the 3cert GmbH from Ruhrallee in Dortmund to the LeonardodaVinci Place in Bochum. 2004 Accreditation of the procedure KPQM (Public Health Care Medical practice Quality management) by the Public Health Care Association of Westfalen- Lippe, Münster. 2005 Accreditation of the Procedure qu.no by the KV Nordrhein. Accreditation of the procedure MAAS - BGW as one of the first three certification companies by the BGW, Hamburg. 2006 Accreditation of the procedure QEP (Quality and development in practices) by the Kassenärztliche Federal Association (KBV), Berlin. 2007 Sale of 70% of the shares to the BAD health and safety systems GmbH, Bonn. 2008 Merger of IntegriCert GmbH, Bonn with 3cert GmbH, Bochum. Accreditation of the standard BS 18001:2007 by DAP (German accreditation system test system) GmbH, Berlin.

2009 Accreditation of the Staff certification by DAG GmbH, Berlin. Moving the 3cert GmbH from LeondardodaVinciPlatz to Amt mann-ibing-straße in Bochum. 2010 Development and Implementation of an order processing software programmed especially for 3cert GmbH with the latest Development tools. 05 2011 Anniversary: 10 years 3cert GmbH. 2012 The purchase of 70% of Shares of BAD. 2013 In April moving the 3cert GmbH from Bochum to Castrop-Rauxel. 2014 Extension of the accreditation by the quality seal Geriatrics and the certificate "age related trauma Centres".

06 In addition to the recognized standard DIN EN ISO 9001, 3cert GmbH in addition certifies according to the following standards DIN EN ISO 9001 with integrated occupational safety in the health system according to MAAS-BGW (trade association for health and welfare) DIN EN 15224:2012 Services in healthcare quality management systems DIN EN ISO 14001 Certification in environmental management can be integrated into the DIN EN ISO 9001, with the help of long-time cooperation partners Certificates of conformity skills for DIN 13485, hygiene standards and HACCP will be issued Certification of personnel as quality management representative (QMR) as quality Manager (QM) as quality auditor (QA) OHSAS 18001 (Occupational health and safety assessment series) Occupational safety and health management system KPQM (KV practice quality management) and qu.no (quality management Nordrhein) certification of medical practices QEP (Quality and development in practices of KBV) - certification of medical practices

NSERE 07

08 Quality management ISO 9001 - our standard Sustainably successful companies know the needs of their customers. you meet requirements because you control your process- es and ensure quality. More than one million certified companies worldwide use the recognised standard DIN EN ISO 9001 as an instrument for management of their company and strengthen their competitiveness in the competition, as has been proven. This standard provides internationally valid demands for management systems concerning the quality of production and service. End of December 2009, the number of ISO - certificates increased according to the ISO Survey 2008 worldwide by 3.3%, in Germany even above average by 7%. With a share of more than 80% of the sites certified in 2010, DIN EN ISO 9001 remains the mainstay of the business. At the top of the companies requesting the service is the service sector with a focus on health care. Korea France USA India Great Britain Germany approx. 25,000 approx. 27,000 approx. 29,000 approx. 35,000 approx. 40,000 approx. 48,000 A quality management system helps to recognize opportunities, to respond to demands by customers, suppliers, and interest partners, to optimise processes and to reduce costs at the same time. Japan Spain Italy approx. 55,000 approx. 65,000 approx. 125,000 Source: ISO Survey 2008 China approx. 250,000

Sustainability also has a social component OHSAS 18001 The social dimension of the sustainability idea is becoming increasingly important. While in the developed OSH management systems, such as OHSAS 18001,are making their mark in the developed nations to reduce the number of accidents and promote the health of employees, their compliance in the threshold and development countries is still in its infancy. 28% qu.no/kpqm staffcertification 44% ISO 9001 09 Consumers show themselves to be increasingly sensitised and ask not only for quality and environmentally friendly production, but also about the conditions under which a product is created. Within the framework of their sustainability philosophy, primarily globally operating companies are implementing occupational health and health protection systems at these locations, too, and call for proof of occupational health and health protection from their suppliers. 10 % OHSAS 6% 18% QEP ISO 9001 + MAAS OUR CUSTOMER DISTRIBUTION Source: 3cert GmbH 2011

10 Certification in cooperation with specialist associations More than 2,170 associations were officially registered with the German Bundestag at the beginning of March 2011. Their task is to represent the interests of their members before State institutions, towards the public and partly also in design processes of the legislative procedures. An important task is also to bundle and to update the knowledge of their members, to promote dialogue and to actively accompany the corresponding development of the profession. The quality management system is one of the topics that have also gained importance in associations over the past ten years. The paths that are taken for this are ranging from the demanding or recommendation by associations of already established standards such as DIN EN ISO 9001 to the development of own quality concepts and their auditing by independent third parties. Diabetes quality management (DQM) As early as 2005, 3cert GmbH has developed DQM (diabetes quality management), a certification system specifically tailored to diabetologic practices, which is confirmed by DDG (German Diabetes Society) with the awarding of the certificate "Diabetes mellitus type 1" or "diabetes mellitus type 2".

Quality seal Geriatrics The introduction and development of institution-internal QM Systems is an obligation of the legislator, which was anchored in sections 135 and 137 SGB V and was substantiated by the agreement pursuant to section 137 subsection 1 sentence 3 No. 1 SGB V on the basic requirements for an institution-internal quality management for hospitals of the German Federal Joint Committee licensed according to 108 SGB V. The basis for an applicable QM Model should be the principle of comprehensive quality management. This principle includes the elements: Patient orientation Responsibility and leadership Economic efficiency Process orientation Employee orientation and participation Goal orientation and flexibility Error prevention and dealing with errors Continuous improvement process The independent and complete certificationprocedure "quality seal Geriatics for acute facilities" fully takes into account these required quality elements. Based on the requirements of DIN EN ISO 9001 and- using a CrossReference the specific demands on the acute geriatric care and more sector-specific requirements for a quality management system are being considered. For the obtaining the quality seal geriatric for acute facilities proof of an internal qualitysystem based on DIN EN ISO 9001requirements, and meeting the requirements of acute Geriatrics, is required. The certification includes the standards criteria and in - particular the geriatric-specific requirements of acute geriatric care.

12 age related traumatology Centres (ATZ) Due to demographic change, the age structure of the population in Germany is also changing to a considerable extent. This must be considered in the future medical care and the latter must adapt to the developments. For the care of elderly and very old patients, Geriatrics and / or geriatric specialist departments have over the past 20 years been able to provide nationwide specialized care structures in hospitals. The focus is therefore on the cooperation of geriatrics and trauma surgery with their specific processes, ie the mutual orientation of the respective working methods to the requirements of an optimal care for this particular patient group. Through the harmonized cooperation between trauma surgery and geriatrics, the ATZ has a special competence in the earliest possible and also prospective interdisciplinary perception of complications and risks.

Personnel certification DIN EN 15224 13 Qualification with quality 3cert certification for people with a basic qualification (training in healthcare, nursing, service provider or engineering sector) is an additional qualification recognized across Europe, which increases the "market value" of an employee and strengthens his position in the company. 3cert GmbH, as an approved personnel certifier for quality management representatives (QMM), quality managers (QM) and quality auditors (QA), has registered a significant increase in demand as a result of the development of the so-called economic stimulus package II. Services in the health-care - quality management systems With DIN EN 15224:2012, a specific management system standard as a basis for certification for healthcare organizations is available for the first time. The construction and structure of the standard are derived from DIN EN ISO 9001: 2008 and the process-oriented approach is suitable for a variety of organization forms in the health care system. This is supported by the alignment of the requirements and textual version of the standard. After elaboration of the DAkkS accreditation rules, we will be accredited in the summer of 2014 according to the specifications.

14 Future market for health care and social services Challenges of the future sector By 2050 there will be twice as many 60-yearolds as newborns in Germany, and the number of people over 80 will triple (Federal Statistical Office). These projections show: There are enormous challenges for healthcare and social services. An increasing number of facilities are already facing this problem by reacting with a quality management system - the legislator creates the basic framework conditions for this. According to Article 20 para. 2 SGB IX, providers of inpatient services for medical rehabilitation have to ensure an in-house quality management within a period of three years, starting from 1 October 2009. The quality management is to ensure and continuously improve the quality of rehabilitation services provision through targeted and systematic procedures and measures. With its approval for BAR (Confederation of German Workers' Rehabilitation), 3cert GmbH supports its customers in the fulfillment of these requirements.

15 The success of 3cert GmbH is the sum of the success of its employees. In the service sector, people are one of the most important success factors of anenterprise. Without the expertise and the dedication of staff and auditors of the 3cert GmbH, without their ideas, problem solution and customer orientation, without their team spirit and motivation, ten years of success history could not have taken place. The extremely low turnover rate of less than 3% and the average length of service to the enterprise show the high level of identification of employees with the company. More than 60% of the employees of the first hour are still working in the company today. The extremely high standard evaluations of the 3cert auditors for many years were also continued in the anniversary year. With a comprehensive program ranging from product and IT training to multi-level English courses, 3cert GmbH invests in the training of its employees and auditors.

3cert GmbH Karlstr. 30 44575 CastropRauxel Tel. +49 (0) 2305 947 55 0 Fax +49 (0) 2305 947 55 19 info@3cert.de www.3cert.de