| 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employment or privileges have been revoked, suspended, limited or |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; and identification |
of the complainant involved in the adverse action. Upon written |
request, the following information must be released to the board |
or authority: within 20 days of receipt of the request: the names |
of the patients whose care by the disciplined practitioner gave |
rise to the adverse action; medical records relating to the event |
or events giving rise to the adverse action; 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employment or privileges have been revoked, suspended, limited or |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 |