| A health care provider or health care entity shall, within 60 |
days, report in writing to the disciplined practitioner's board |
or authority the name of any licensed, certified or registered |
employee or person privileged by the provider or entity whose |
employment or privileges have been revoked, suspended, limited or |
terminated or who resigned while under investigation or to avoid |
investigation for reasons related to clinical competence or |
unprofessional conduct, together with pertinent information |
relating to that action. Pertinent information includes a |
description of the adverse action, the name of the practitioner |
involved, the date, the location and a description of the event |
or events giving rise to the adverse action, identification of |
the complainant and the medical records involved. Upon request, |
the following information must be released to the board or |
authority: medical records relating to the event or events; |
written statements signed or prepared by any witness or |
complainant to the event; and related correspondence between the |
practitioner and the provider or entity. The report must include |
situations in which employment or privileges have been revoked, |
suspended, limited or otherwise adversely affected by action of |
the health care practitioner while the health care practitioner |
was the subject of disciplinary proceedings, and it also must |
include situations where employment or privileges have been |
revoked, suspended, limited or otherwise adversely affected by |
act of the health care practitioner in return for the health care |
provider or health care entity terminating such proceeding. Any |
reversal, modification or change of action reported pursuant to |
this section must be reported immediately to the practitioner's |
board or authority, together with a brief statement of the |
reasons for that reversal, modification or change. The failure |
of any health care provider or health care entity to report as |
required is a civil violation for which a fine of not more than |
$1,000 may be adjudged. |