Both apps will be made available over a 2 year period in a randomized, stepped-wedge design to Veterans Health Administration (VHA) facilities. The VA Telederm app will be distributed to 36 eligible VHA facilities that currently have low teledermatology activity and thus have had relatively poor adoption of basic consultative teledermatology. The My Telederm app will be distributed to 24 facilities with dermatology clinics that currently have relatively high teledermatology activity and thus already have relatively mature teledermatology programs ready for advanced operations.