With support from the Cambridge Health Alliance (CHA) Foundation, ICH led and designed this qualitative study. ICH sought to understand perspectives from primary care providers (PCPs) about various inter-clinician e-consult programs available at CHA, a safety-net community teaching healthcare system in Eastern Massachusetts. Inter-clinician e-consults provide access to specialists, and have been shown to increase provider and patient satisfaction, improve health outcomes and overall access to care. Within a safety-net health system, e-consults can be a valuable tool for improving patient outcomes. ICH conducted seven focus groups with 41 PCPs at CHA. Overall, focus groups revealed that e-consults improved PCP experience by enabling patient-centered care and enhancing PCP education. While PCPs discussed an increase in workload with implementation, they agreed that e-consults have the potential to reduce health care costs.