|  | 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| employment or privileges have been revoked, suspended, limited or | 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| employment or privileges have been revoked, suspended, limited or | 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 |