Introduction: Research regarding specific Key Performance Indicators (KPIs) related to healthcare utilization is lacking, particularly in assessing district hospitals across central, north, and south Kashmir. This research aims to fill this gap by focusing on KPI analysis, providing insights into healthcare delivery in the region. The ultimate goal is to facilitate informed decision-making and drive improvements in service delivery. Methodology:This study explores healthcare dynamics in Kashmir's district hospitals, using selected Key Performance Indicators (KPIs,)to assess utilization performance. Rooted in the Donabedian model, the research employs a quantitative approach, combining cross-sectional surveys and retrospective data analysis. Results:Findings highlight disparities in meeting IPHS-2012 standards, revealing fluctuating bed occupancy, admission rates, and disparities in outpatient consultations, , surgeries, and patient referrals. Notable observations include Pulwama extended patient stays, Bandipora's. The study identifies areas for targeted interventions to enhance service quality and satisfaction levels, guiding healthcare resource allocation and policy development.