Access to healthcare is currently a key priority for the Department of Veterans Affairs (VA). The current practice of teledermatology in VA is effective but has not been uniformly implemented, and inefficiencies in the current workstation-based process may discourage teledermatology adoption by primary care clinics. VA Office of Connected Care developed a mobile app, VA Telederm, as a more facile and efficient option that may enhance teledermatology adoption among providers. Once patients establish care in a dermatology clinic, they often need follow-up visits to evaluate responses to treatment and to adjust management, neither of which necessarily requires a face-to-face visit. To address these issues, OCC has additionally developed the My Telederm app to allow established dermatology clinic patients to follow-up in person, the app may improve clinic access to in-person dermatology clinics. The mobile apps are thus new programs that are planned for wide-spread implementation in the VA. The investigators will conduct TWO SEPARATE TRIALS of database reviews to understand how these two apps affect features of dermatology care, specifically related to access to care.