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Utah Department of Health and Human Services

Number of DHHS operational units or offices who participate in the DHHS Building Organizational Capacity (BOCA)

Current Value

24

2025

Definition

The Building Organizational Capacity Assessment to advance Health Equity (BOCA-HE) is a part of the DHHS effort to integrate a transformative health equity practice throughout the department.  The Office of Heath Equity works will work with each organizational unit to complete the assessment, and then to create a plan for improvement based on the findings.  Their target is to complete the BOCA with 12 organizational units each year. 

Measure Definition

The Building Organizational Capacity Assessment to advance Health Equity (BOCA-HE) project is a part of the Department of Health and Human Services (DHHS) effort to integrate health equity processes throughout the department. The Office of Health Equity will work with offices and operational units (OUs) throughout DHHS to assess and establish a baseline of health equity activity capacity, and create a plan for implementation to improve health equity activity scores. For each participating office/OU, the assessment phase takes 3-4 months and the implementation phase takes 12 months, for a total of a 16 month-timeline participation in the BOCA project.

The target goal for FY24 is to have 30 total offices/ OUs assessed and implementing (or implemented) health equity activities, with 11 new participants in the fiscal year. OHE did not meet this goal, but instead assessed 8 additional participants for a total of 26 office/OUs assessed. 

Story Behind the Curve

Prior to FY24, there were 18 participants: 8 participants in FY22 (July 2022-June 2023) and 10 participants in FY23 (July 2023-June 2024).

In FY24 (July 2024-June 2025), OHE assessed an additional 8 participants, bringing the total to 26 participants. 

Acknowledgement of not meeting the initial target of 30 in FY24: OHE paused assessment during the legislative session due to limited capacity of DHHS offices/OUs to participate in the BOCA project. OHE was then impacted by the early reduction of DHHS staff in March 2025, resulting in the loss of six full-time staff, including two staff members supporting the BOCA project. Due to these staffing and participation constraints, OHE reduced the number of new offices/OUs planned for assessment in FY25.

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