This study will measure the impact of two teledermatology apps, VA Telederm and MY Telederm, WITH TWO SEPARATE TRIALS on access to dermatology care. The overall hypothesis is that sites implementing Department of Veterans Affairs' (VA) teledermatology mobile apps will significantly augment the use of teledermatology and improve Veterans' access to skin care relative to control sites. Specifically, the investigators hypothesize that VA Telederm will facilitate the implementation and adoption of teledermatology among primary care clinic staff, increasing use by existing programs and potentially expanding teledermatology to new sites while reducing patient travel to dermatology clinics. Additionally the investigators hypothesize that My Telederm will improve established patients' ability to follow-up with dermatology care remotely, while opening up dermatology clinic space for other patients.