| 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| employment or privileges have been revoked, suspended, limited or |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| situations in which employment or privileges have been revoked, |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. |